HomeNPI Verification

NPI Verification

National Provider Identifier: 1275519878

Richard Jay Blackburn, DO

Individual Provider

Credentials

DO

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

705 WASHINGTON ST

RAVENSWOOD, WV 261641729

Phone: 304-868-6000

NPI Enumeration Date

December 16, 2005

NPI Number

1275519878

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Richard Blackburn, DO - NPI 1275519878 | Provider Verification | HormoneMap