RICHARD JAY BLACKBURN

RAVENSWOOD, WV
NPI1275519878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  1455)
Enumeration Date2005-12-16
Last Update Date2007-07-08
Business Address
Dr. RICHARD JAY BLACKBURN DO
705 WASHINGTON ST
RAVENSWOOD, WV 26164-1729
Phone number: 304-868-6000
Mailing Address
Dr. RICHARD JAY BLACKBURN DO
705 WASHINGTON ST
RAVENSWOOD, WV 26164-1729
Phone number: 304-868-6000
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