Bruce Gragg Blackstone is a Longview, Washington based male orthopedic surgeon who is specialized in Orthopedic Surgery. Active license number of Bruce Gragg Blackstone is MD00020762 for Orthopedic Surgery in Washington.
Bruce Gragg Blackstone is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Bruce Gragg Blackstone speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Orthopedic Surgery
Credentials:
M.D.
Gender:
Male
Practice Address:
625 9th Ave, Suite 210, Longview, Washington, 98632-2465
Phone:
360-501-3400
Fax:
360-423-6862
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1891760211
NPI Enumeration Date:
20 Feb, 2006
NPI Last Update On:
22 Sep, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bruce Gragg Blackstone are as mentioned below.
License Number
Specialization
State
Status
MD00020762
Orthopedic Surgery
Washington
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Bruce Gragg Blackstone such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1131101
Medicaid
Washington
195560
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
625 9th Ave, Suite 210 Longview, Washington
Zip:
98632-2465
Phone Number:
360-501-3400
Fax Number:
360-423-6862
Patients can reach Bruce Gragg Blackstone at 625 9th Ave, Suite 210, Longview, Washington or can call to book an appointment on 360-501-3400. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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