Charles Samuel Blackadar M.D.

NPI 1821187899 - Family Medicine - 207Q00000X

NPI Details
NPI 1821187899
Gender Male
Enumeration Date 10/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 BOONE RD
NAVAL HOSPITAL
BREMERTON WA, 98312-1894, US
Phone (360) 475-4426
Fax (360) 475-4344
Business Location
5802 LONDONDERRY LOOP NW
BREMERTON WA, 98312-1197, US
Phone (360) 692-2276
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Washington
License Number 37686
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According to our database, Dr. Charles Samuel Blackadar M.D. NPI is 1821187899, taxonomy code is 207Q00000X and license number is 37686, license state is located at Washington. Charles Samuel Blackadar M.D. physically located at 1 Boone Rd, Bremerton WA, 98312-1894. NPI Number Charles Samuel Blackadar M.D. has the Individual type.

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1821187899 NPI number is provided on an as is basis without warranty of any kind. 1821187899 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Samuel Blackadar M.D. are for informational purposes only.