MR. WILL BLACKMON III, PA-C

Physician Assistant

Active Individual
NPI: 1073925160

Practice Address

2100 POWELL ST
SUITE 920
Emeryville, CA 94608

Phone: (925) 939-5800

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 51619 (CA)

Frequently Asked Questions

NPI 1073925160 is the National Provider Identifier for MR. WILL BLACKMON III, PA-C, a Physician Assistant provider located in Emeryville, CA. This NPI was enumerated on May 23, 2014.
MR. WILL BLACKMON III, PA-C practices at 2100 POWELL ST, SUITE 920, Emeryville, CA 94608.

Quick Facts

NPI
1073925160
Type
Individual
Enumerated
May 23, 2014
Last Updated
May 13, 2016

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