Individual
DAVID ALAN BLACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
997 COURT ST, ELKO, NV 89801-3942
(775) 778-0507
(775) 778-0987
Mailing address
997 COURT ST, ELKO, NV 89801-3942
(775) 778-0507
(775) 778-0987
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
NV
224P00000X
Prosthetist
Primary
—
NV
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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