WILL RICHARD BLACKMON, PA-C

NPI: 1073925160 · Individual · Active

Primary Specialty

Physician Assistant

Practice Location

2100 POWELL ST
SUITE 920
EMERYVILLE, CA 94608-1826 Map ↗
Phone: 925-939-5800

Mailing Address

PO BOX 2844
BERKELEY, CA 94702-0844 Map ↗

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Physician Assistant Primary (license: 51619, CA)

NPI Registration

Enumerated: 2014-05-23

Last CMS Update: 2016-05-13