RUSSELL LESLIE BLACKBURN

HAYWARD, CA
NPI1265448716
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A31946)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
RUSSELL LESLIE BLACKBURN MD
21297 FOOTHILL BLVD SUITE 201
HAYWARD, CA 94541-1554
Phone number: 510-538-4636
Mailing Address
RUSSELL LESLIE BLACKBURN MD
21297 FOOTHILL BLVD SUITE 201
HAYWARD, CA 94541-1554
Phone number: 510-538-4636