Russell Leslie Blackburn in Hayward - Family Medicine

Russell Leslie Blackburn - NPI 1265448716

Russell Leslie Blackburn is a Family Medicine in Hayward, California. Russell Leslie Blackburn practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Russell Leslie Blackburn is 1265448716. The last update date is 2007-07-08.

Russell Leslie Blackburn's current location address is 21297 Foothill Blvd, Hayward, California. You can contact this provider via phone number 5105384636 and fax number 5105381615. The mailing address for Russell Leslie Blackburn is 21297 Foothill Blvd, Hayward, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell Leslie Blackburn
Address 21297 Foothill Blvd, Hayward, California
Phone Number 5105384636
Fax Number 5105381615
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1265448716
Provider Enumeration Date 2006-08-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 21297 Foothill Blvd
City Hayward
State California (CA)
Post Code 945411554
Phone Number 5105384636
Fax Number 5105381615

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No A31946
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Russell Leslie Blackburn

What is the unique identifier code issued to Russell Leslie Blackburn by the Centers for Medicare & Medicaid Services?

The Russell Leslie Blackburn has been assigned the NPI (National Provider Identifier) 1265448716. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Russell Leslie Blackburn is physically located?

The Russell Leslie Blackburn is situated at the following address: 21297 Foothill Blvd, Hayward, CA 945411554.

What is Russell Leslie Blackburn's area of expertise and its corresponding taxonomy classification?

The Russell Leslie Blackburn's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1265448716 to Russell Leslie Blackburn?

The Centers for Medicare & Medicaid Services assigned the 1265448716 to Russell Leslie Blackburn on 2006-08-01.

As of what date were the details pertaining to Russell Leslie Blackburn last refreshed?

The information related to the Russell Leslie Blackburn, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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