NPI 1639118060
Oklahoma City Vamc
Practice location
- Address
- 1009 W Ferguson Ave Blackwell Family Medicine, Blackwell, OK 74631-5602
- Phone
- (615) 355-3451
- Mailing address
- PO Box 94537, Cleveland, OH 44101-4537
Authorised official
- Name
- Erin Potter
- Title
- Npi Team Member
- Phone
- (202) 382-2579
Registered specialties
VA Clinic/Center
Primary
Registry record
- NPI
- 1639118060
- Entity type
- Organization
- NPI issued
- 4 Jun 2006
- Record last updated
- 16 Jan 2018
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.