Individual
ROBERT BRICE BLANKENSHIP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, DEPARTMENT OF EMERGENCY MEDICINE, TACOMA, WA 98431-0001
(253) 968-1250
Mailing address
17818 92ND AVE E, PUYALLUP, WA 98375-6268
(253) 968-1250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-076045
OH
Other
Enumeration date
01/30/2006
Last updated
07/08/2007
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