| Bruce Gragg Blackstone, MD | |
|
625 9th Ave, Suite 210, Longview, WA 98632-2465 | |
| (360) 501-3400 | |
| (360) 423-6862 |
| Full Name | Bruce Gragg Blackstone |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 625 9th Ave, Longview, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891760211 | NPI | - | NPPES |
| 1131101 | Medicaid | WA | |
| 195560 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD00020762 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Gragg Blackstone, MD 625 9th Ave, Suite 210, Longview, WA 98632-2465 Ph: (360) 501-3400 | Bruce Gragg Blackstone, MD 625 9th Ave, Suite 210, Longview, WA 98632-2465 Ph: (360) 501-3400 |
Dr. Tony C Lin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-5682 |
William Taylor Turner, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 625 9th Ave, Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 |
Dr. Peter Kung, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 |
David Michael Black, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 625 9th Ave, Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 |
Anthony J Lauder, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 |
Ansab Khwaja, MD PC Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-5682 |
Jon Edward Kretzler, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 625 9th Ave, Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 |