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1528590189
BRYAN CHRISTOPHER BLACKER
FORT MADISON, IA
NPI
1528590189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IA MD-47016)
Enumeration Date
2017-03-31
Last Update Date
2024-12-20
Business Address
BRYAN CHRISTOPHER BLACKER M.D.
5409 AVENUE O STE 121
FORT MADISON, IA 52627-9673
Phone number: 319-372-5437
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Mailing Address
BRYAN CHRISTOPHER BLACKER M.D.
1501 INDIAN SCHOOL RD NE APT D105
ALBUQUERQUE, NM 87102-1641
Phone number: 505-377-2773
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