Individual
DR. CHARLES SAMUEL BLACKADAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BOONE RD, NAVAL HOSPITAL, BREMERTON, WA 98312-1894
(360) 475-4426
(360) 475-4344
Mailing address
5802 LONDONDERRY LOOP NW, BREMERTON, WA 98312-1197
(360) 692-2276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37686
WA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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