Bradley A Blackburn MD

NPI 1033102124 - Radiology - 2085R0202X

NPI Details
NPI 1033102124
Gender Male
Enumeration Date 08/24/2005
Last Updated 03/06/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
103 PARTRIDGE LN
CHAGRIN FALLS OH, 44022-4010, US
Phone (440) 247-3258
Fax (440) 247-7459
Business Location
103 PARTRIDGE LN
CHAGRIN FALLS OH, 44022-4010, US
Phone (440) 247-3258
Fax (440) 247-7459
Toxanomy
Taxonomy Code 2085R0202X
License State Ohio
License Number 35053437
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According to our database, Bradley A Blackburn MD NPI is 1033102124, taxonomy code is 2085R0202X and license number is 35053437, license state is located at Ohio. Bradley A Blackburn MD physically located at 103 Partridge Ln, Chagrin Falls OH, 44022-4010. NPI Number Bradley A Blackburn MD has the Individual type.

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1033102124 NPI number is provided on an as is basis without warranty of any kind. 1033102124 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley A Blackburn MD are for informational purposes only.