ANDREW THOMAS BLACKBURNE

BJSPH PHYSICIAN BILLING SERVICES, LLC

Dr ANDREW THOMAS BLACKBURNE is a male medical professional, specializing in Urology. He graduated in 2012 from University Of North Carolina At Chapel Hill School Of Medicine.

Contact

BJSPH PHYSICIAN BILLING SERVICES, LLC

20 PROGRESS POINT PKWY
SUITE 108
O FALLON
MO
633682207

Tel: 6363443711

ANDREW THOMAS BLACKBURNE Information

Npi 1437412582
Pac Id 5496991358
Professional Enrollment Id I20170619001987
Last Name BLACKBURNE
First Name ANDREW
Middle Name THOMAS
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year 2012
Primary Specialty UROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BJSPH PHYSICIAN BILLING SERVICES, LLC
Group Practice Pac Id 3678728763
Number Of Group Practice Members 8
Line 1 Street Address 20 PROGRESS POINT PKWY
Line 2 Street Address SUITE 108
Marker Of Address Line 2 Suppression
City O FALLON
State MO
Zip Code 633682207
Phone Number 6363443711
Hospital Affiliation Ccn 1 260005
Hospital Affiliation Lbn 1 SSM ST JOSEPH HEALTH CENTER
Hospital Affiliation Ccn 2 260180
Hospital Affiliation Lbn 2 CHRISTIAN HOSPITAL NORTHEAST
Hospital Affiliation Ccn 3 260219
Hospital Affiliation Lbn 3 PROGRESS WEST HOSPITAL
Hospital Affiliation Ccn 4 260108
Hospital Affiliation Lbn 4 MISSOURI BAPTIST MEDICAL CENTER
Hospital Affiliation Ccn 5 260179
Hospital Affiliation Lbn 5 ST LUKES HOSPITAL
Professional Accepts Medicare Assignment Y

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