Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY L BLACKBURN, M.D.
ActiveCardiovascular Disease · BELTON, MO
Registration Details
- NPI Number
- 1558325605
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2006 (20.071131212001 yrs)
- Last Updated
- Sep 5, 2023
- License
-
R2P33 (MO)
Practice Information
- Address
-
17067 S OUTER RDSUITE 200BELTON, MO, 640122165Browse MO providers · Browse ZIP 64012
- Phone
- 8163484281
- Fax
- 8163484271
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
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.