IndividualActive
Robert Blackstone, PA-C
NPI 1699284570 · Surgical Physician Assistant · Albuquerque, NM
Provider details
- NPI number
- 1699284570
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA2017-0078 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2211 Lomas Blvd Ne
Albuquerque, NM 87106-2719
Phone: (505) 272-4107
Approximate (ZIP-level) locationGet directions
Mailing address
2211 Lomas Blvd Ne
Albuquerque, NM 87106-2719
Registry dates
- Enumerated
- 2017-09-24
- Last updated
- 2017-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.