(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003554494
Provider Name: SCOTT ANTHONY BLACKBURN NP
Entity Type: Individual
Taxonomy Code: 363LP2300X
Specialty: Nurse Practitioner
License Number: 4704326782
Most Important Dates
Enumeration Date: 05/25/2022
Last Updated: 04/12/2024
Provider Practice Location
15150 FORT ST
SOUTHGATE
MI
481951302
Practice Location Phone/Fax
Phone: 7342824800
Fax: 7342829302
Provider Mailing Location
15150 FORT ST
SOUTHGATE
MI
481951302
Provider Mailing Phone/Fax
Phone: 7342824800
Fax: