Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FRED BLACKWELL, M.D.
Active Sole ProprietorDR. FRED BLACKWELL, M.D. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in ALAMEDA, California. NPI 1386771186 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · ALAMEDA, CA
Registration Details
- NPI Number
- 1386771186
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2007 (19.493013733087 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G15873 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2100 OTIS DRALAMEDA, CA, 945015786Browse CA providers · Browse ZIP 94501
- Phone
- 5107480940
- Fax
- 5107480926
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
Other Adult Reconstructive Orthopaedic Surgery Providers in ALAMEDA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES GUIDO DISTEFANO JR. | M.D. | 1942513882 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.