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Bethany Blacketer, M.D
NPI 1487764833 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1330 Las Tablas Rd
Templeton, CA 93465 - Phone
- (805) 542-6700
- Fax
- (805) 542-6791
- Organisation at this address
- Imgrx Slo, Inc.
Community Health Centers Of The Central Coast, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 1140 Main St, Livingston, CA
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-23
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