Michael Gregory Blackburn in Puyallup - Internal Medicine
Michael Gregory Blackburn - NPI 1063429652
Michael Gregory Blackburn is a Internal Medicine in Puyallup, Washington. Michael Gregory Blackburn practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Michael Gregory Blackburn is 1063429652. The last update date is 2019-07-18.
Michael Gregory Blackburn's current location address is 201 15th Ave Sw Ste C, Puyallup, Washington. You can contact this provider via phone number 2538414243 and fax number 2538649452. The mailing address for Michael Gregory Blackburn is 201 15th Ave Sw Ste C, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Gregory Blackburn |
|---|---|
| Address | 201 15th Ave Sw Ste C, Puyallup, Washington |
| Phone Number | 2538414243 |
| Fax Number | 2538649452 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063429652 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2019-07-18 |
Provider Mailing Address Detail
| Address | 201 15th Ave Sw Ste C |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983717495 |
| Phone Number | 2538414243 |
| Fax Number | 2538649452 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD00019306 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1008895 | WA | -- | |
| BL4674 | WA | REGENCE | |
| 110008458 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Michael Gregory Blackburn's unique identification number?
The Michael Gregory Blackburn has been assigned the NPI (National Provider Identifier) Number 1063429652 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Michael Gregory Blackburn is physically located?
The Michael Gregory Blackburn is physically situated at the following address: 201 15Th Ave Sw Ste C, Puyallup, WA, 983717495.
What is Michael Gregory Blackburn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Gregory Blackburn's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063429652 to Michael Gregory Blackburn?
The Centers for Medicare & Medicaid Services assigned the 1063429652 to Michael Gregory Blackburn on 2006-08-03.
When was the Michael Gregory Blackburn's information last updated?
The Michael Gregory Blackburn's information was last updated on 2019-07-18.