NPI 1033664859
Justin Blaylock
Practice location
- Address
- 900 W Choctaw Ave, Chickasha, OK 73018-2213
- Phone
- (405) 222-6500
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1033664859
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Aug 2016
- Record last updated
- 22 Aug 2016
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.