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DAVID BLACKBURN MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1295239408

Individual Registrant:
 DAVID  BLACKBURN MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
715 E 9TH ST  RECTOR, AR 72461-2705 US
Tel: 870-595-3596  Fax: --

Contact information for business:
1206 GORDON DUCKWORTH DR  PIGGOTT, AR 72454-1911 US
Tel: 870-598-3881  Fax: --

Registration Information:
NPI: 1295239408
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
ARE13950

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
271052001AR05




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