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Search › Indiana › 207VX0000X

Dustin Blackwell, DO

NPI 1841682374 · on the registry since 2015

Practice

Address
700 Willow St Ste 203
Vincennes, IN 47591
Phone
(812) 882-1000
Fax
(812) 882-1004
Organisation at this address
Rafael Lao, M.D.
Renal Life Link Inc
Total Renal Care Inc
Vincennes Medical Corp
Good Samaritan Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
207VX0000X
207VX0000X
Also registered as
207V00000X
390200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-03-25

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 Indiana