SearchMissouri207P00000X

Joel Blackburn, D.O

NPI 1801967047 · on the registry since 2006

Practice

Address
3916 S Providence Rd Ste 101
Columbia, MO 65203
Phone
(573) 882-1662
Fax
(573) 882-4096
Organisation at this address
Curators Of The University Of Missouri
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
207P00000X
207P00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-16

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 Missouri