Whalio Doctors

NPI 1376356204

Blackwell Family Medicine LLC

Organisation Primary Care Clinic/Center Blackwell, OK

Practice location

Address
1009 W Ferguson Ave, Blackwell, OK 74631-5602
Phone
(580) 363-0052
Fax
(580) 363-0894

Authorised official

Name
Sara J Fair
Title
Office Manger
Phone
(580) 363-0052

Registered specialties

Primary Care Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QP2300X

Registry record

NPI
1376356204
Entity type
Organization
NPI issued
27 Jan 2025
Record last updated
27 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.