Dr BRUCE A BLACKHART is a male medical professional, specializing in Family Medicine. He graduated in 1982 from Georgetown University Of Medicine.
1425 W H ST
SUITE 200
OAKDALE
CA
953613590
Tel: 2098481005
| Npi | 1700874286 |
| Pac Id | 9638270549 |
| Professional Enrollment Id | I20070723000331 |
| Last Name | BLACKHART |
| First Name | BRUCE |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
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| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 1425 W H ST |
| Line 2 Street Address | SUITE 200 |
| Marker Of Address Line 2 Suppression | |
| City | OAKDALE |
| State | CA |
| Zip Code | 953613590 |
| Phone Number | 2098481005 |
| Hospital Affiliation Ccn 1 | 050067 |
| Hospital Affiliation Lbn 1 | OAK VALLEY HOSPITAL DISTRICT |
| Hospital Affiliation Ccn 2 | 050335 |
| Hospital Affiliation Lbn 2 | ADVENTIST HEALTH SONORA |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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