Search › Alaska › 373H00000X
Derrick Blackburn
NPI 1104663715 · on the registry since 2024
Practice
- Address
- 909 Cushman St Ste 103
Fairbanks, AK 99701 - Phone
- (907) 456-4620
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 373H00000X
373H00000X
- Also registered as
- 171M00000X
372500000X
372600000X - Sex
- Male
- Record last updated
- 2024-07-10
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 Alaska