NPI 1376356204
Blackwell Family Medicine LLC
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
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.