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ROBERT BLACKMAN D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1477545044

Individual Registrant:
 ROBERT  BLACKMAN D.C.
Gender: M

Location and contact information for practice:
200 W HOBSONWAY  BLYTHE, CA 92225-1619 US
Tel: 760-921-2222  Fax: 760-921-2225

Contact information for business:
200 W HOBSONWAY  BLYTHE, CA 92225-1619 US
Tel: 760-921-2222  Fax: 760-921-2225

Registration Information:
NPI: 1477545044
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CAC10625

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE SHIELD PROVIDER #DC0106250CA01




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