Individual
RALPH ALLEN BLACKWOOD JR.
Active
Individual
RALPH ALLEN BLACKWOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101058629
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518943026
—
VA
05
—
5819253
—
VA
05
—
5836549
—
VA
05
—
5863830
—
VA
05
—
6728871
—
VA
Enumeration date
12/16/2005
Last updated
10/13/2021
Update your record
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