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TERRY A BLACKWOOD
OTHER
TERRY A BLACKWOOD is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1144324294. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2062451057. The primary specialty is CHIROPRACTIC. The organization is BLACKWOOD CHIROPRACTIC CLINIC P A. The address is 511 CEDAR ST, , CONCORDIA, KS, 669012111. The zip code is 669012111.
Nation Provider ID | 1144324294 |
---|---|
PAC ID by PECOS | 2062451057 |
Professional Enrollment ID | I20050428000962 |
Name | TERRY A BLACKWOOD |
Medical School Name | OTHER |
Graduation Year | 1985 |
Primary Specialty | CHIROPRACTIC |
All secondary specialties | |
Organization Name | BLACKWOOD CHIROPRACTIC CLINIC P A |
Group Practice PAC ID | 6103873625 |
Number of Group Practice members | 3 |
Address | 511 CEDAR ST, , CONCORDIA, KS, 669012111 |
Hospital affiliation LBN | |
Graduation Year | 1985 |
Contact Number | 7852434049 |
Email Address | [Show_Email_ID] |
Phone Number | [Show_Phone] |
Website | [Show_Website] |