Individual
RALPH ALLEN BLACKWOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 RIVERSIDE CIRCLE, ROANOKE, VA 24016
(540) 224-5170
(540) 772-8219
Mailing address
3 RIVERSIDE CIRCLE, ROANOKE, VA 24016
(540) 224-5170
(540) 983-8229
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
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