Individual
DR. DENNIS CHRISTIAN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2342 PROFESSIONAL PKWY, 200, SANTA MARIA, CA 93455-1630
(805) 349-9545
(805) 349-8025
Mailing address
862 MEINECKE AVE, SUITE 100, SAN LUIS OBISPO, CA 93405-1721
(805) 349-9545
(805) 349-8025
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A7267
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AZ727670
—
CA
Enumeration date
04/03/2006
Last updated
02/19/2010
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