Search › Wyoming › 183500000X
James Blackburn
NPI 1710230230 · on the registry since 2012 · sole proprietor
Practice
- Address
- 150 Scott Ln Spc A
Jackson, WY 83001 - Phone
- (307) 201-1159
- Fax
- (307) 201-1553
Additional practice sites
- 830 W Broadway Ave, Jackson, WY
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-16
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 Wyoming