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

BRUCE GRAGG BLACKSTONE, M.D.

Active

Orthopaedic Surgery · LONGVIEW, WA

Registration Details

NPI Number
1891760211
Provider Type
Individual
Gender
Male
NPI Issued
Feb 20, 2006 (20.174853380277 yrs)
Last Updated
Sep 22, 2010
License
MD00020762 (WA)

Practice Information

Address
625 9TH AVE
SUITE 210
LONGVIEW, WA, 986322465
Browse WA providers · Browse ZIP 98632
Phone
3605013400
Fax
3604236862
Primary Specialty
Orthopaedic Surgery
207X00000X

Other Orthopaedic Surgery Providers in LONGVIEW, WA

Name Credential NPI
JON EDWARD KRETZLER M.D. 1417922840
WILLIAM TAYLOR TURNER M.D. 1225003213
DR. PETER KUNG M.D. 1225169279
DR. TONY C LIN M.D. 1043414741
TIFFANY C LIU 1528562964
HERBERT MAO DO 1063075067
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.