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1457305179
JOHN TIMOTHY BLACKWELDER
WALLA WALLA, WA
NPI
1457305179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: WA MD00020601)
Enumeration Date
2006-05-19
Last Update Date
2007-07-08
Business Address
Dr. JOHN TIMOTHY BLACKWELDER M.D.
1240 LANCER DR
WALLA WALLA, WA 99362-9275
Phone number: 509-529-5541
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Mailing Address
Dr. JOHN TIMOTHY BLACKWELDER M.D.
1240 LANCER DR
WALLA WALLA, WA 99362-9275
Phone number: 509-529-5541
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