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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY ROBERT BLACKBURN

Active Sole Proprietor

GARY ROBERT BLACKBURN is a Prosthetic/Orthotic Supplier healthcare provider located in NOBLESVILLE, Indiana. NPI 1467896258 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · NOBLESVILLE, IN

Registration Details

NPI Number
1467896258
Provider Type
Individual
Gender
Male
NPI Issued
Apr 23, 2013 (13.332347950978 yrs)
Last Updated
Jul 3, 2013
Sole Proprietor
Yes

Practice Information

Address
501 S 9TH ST
SUITE 17
NOBLESVILLE, IN, 460602717
Browse IN providers · Browse ZIP 46060
Phone
3177740969
Fax
3177745741
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X
Additional Specialty
Prosthetic/Orthotic Supplier
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.