Individual
DOUGLAS JOHN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
12410 E SINTO AVE STE 205, SPOKANE VALLEY, WA 99216-2280
(509) 242-3944
Mailing address
12410 E SINTO AVE STE 205, SPOKANE VALLEY, WA 99216-2280
(509) 242-3944
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A1 60574310
WA
Other
Enumeration date
10/15/2016
Last updated
10/15/2016
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