Individual
DR. RICHARD BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
Mailing address
2851 PINE FOREST DR, SOUTHPORT, NC 28461-8236
(910) 650-3138
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
200701598
NC
2085R0001X
Radiation Oncology Physician
2023048760
MO
2085R0001X
Radiation Oncology Physician
24026
ND
Other
Enumeration date
06/03/2006
Last updated
05/05/2026
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