MRS. BONNIE BLACKBURN, PA
Physician Assistant - Medical
Active
Individual
NPI: 1386270908
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 2411 (WV) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
Frequently Asked Questions
NPI 1386270908 is the National Provider Identifier for MRS. BONNIE BLACKBURN, PA, a Physician Assistant - Medical provider located in Buckhannon, WV. This NPI was enumerated on March 15, 2020.
MRS. BONNIE BLACKBURN, PA practices at 10 AMALIA DR STE C5, Buckhannon, WV 26201.
Quick Facts
- NPI
- 1386270908
- Type
- Individual
- Enumerated
- Mar 15, 2020
- Last Updated
- Sep 15, 2020
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