BRUCE GRAGG BLACKSTONE

LONGVIEW, WA
NPI1891760211
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: WA  MD00020762)
Enumeration Date2006-02-20
Last Update Date2010-09-22
Business Address
-- BRUCE GRAGG BLACKSTONE M.D.
625 9TH AVE SUITE 210
LONGVIEW, WA 98632-2465
Phone number: 360-501-3400
Mailing Address
-- BRUCE GRAGG BLACKSTONE M.D.
625 9TH AVE SUITE 210
LONGVIEW, WA 98632-2465
Phone number: 360-501-3400
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