Individual
ROBERT BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2050 BARB ST, SILVERDALE, WA 98315
(360) 315-4391
Mailing address
606 BURWELL ST APT 201, BREMERTON, WA 98337-1471
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
30420
NE
Other
Enumeration date
06/16/2015
Last updated
01/03/2019
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