Andrew T Blackburne, MD
Urology in Saint Peters, MO. Individual provider (NPI-1).
NPI number1437412582
StatusActive
Last updated in NPPESJun 30, 2026
Details
- NPI
- 1437412582
- Entity type
- Individual (NPI-1)
- Name
- Andrew T Blackburne
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2012
- Certification date
- Jun 30, 2026
- Last updated
- Jun 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 2017014167 | MO | Yes |
| 208800000X | Urology | 036156280 | IL |
Practice location
112 Piper Hill Dr Ste 12Saint Peters, MO 63376-1690
Phone 636-996-9202 · Fax 314-743-1338
Mailing address
12855 N 40 Dr Ste 375Saint Louis, MO 63141-8657
Phone 314-567-6071 · Fax 314-567-3321
Other practice locations
3195 Phoenix Center Dr
Washington, MO 63090-5689
Washington, MO 63090-5689
Phone 314-567-6071
12855 N 40 Dr Ste 375
Saint Louis, MO 63141-8657
Saint Louis, MO 63141-8657
Phone 314-567-6071 · Fax 314-453-9965
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