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Individual

BRIAN R BLACKBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2220 E BIDWELL ST, FOLSOM, CA 95630-3463
(916) 800-4685
Mailing address
2220 E BIDWELL ST, FOLSOM, CA 95630-3463
(916) 800-4685

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A17167
CA

Other

Enumeration date
06/23/2011
Last updated
09/12/2025
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