SearchCaliforniaSpecialist

Casey Blackburn

NPI 1346648987 · on the registry since 2014

Practice

Address
2001 The Alameda
San Jose, CA 95126
Phone
(408) 261-7777
Fax
(408) 259-2273
Organisation at this address
Momentum
Tami Thomason
Momentum For Health
Momentum For Health
Momentum For Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
615

Registry record

Primary taxonomy
Specialist
174400000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-14

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 California