Search › Washington › 207Q00000X
Gregary Blackner, M.D
NPI 1316050602 · on the registry since 2006
Practice
- Address
- 1617 Summit Lake Shore Rd Nw
Olympia, WA 98502 - Phone
- (801) 682-8190
- Fax
- (801) 214-1875
Additional practice sites
- 700 Lilly Rd Ne, Olympia, WA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington