NPI 1457738494 · live from the CMS NPI Registry
Walter Lee Blackburn, D.O.
Anesthesiology in Sacramento, CA. National Provider Identifier 1457738494, active.
NPI record
| NPI | 1457738494 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 3315 Watt Ave, Sacramento, CA 95821 |
| Practice phone | 916-481-6800 |
| Mailing address | Po Box 1705, Medford, OR 97501 |
| Enumerated | April 29, 2015 |
| Last updated | August 29, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 20A19254 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.