Whalio Doctors

NPI 1821233420

Joel Evan Blackwood, RPA

Practitioner Radiology Practitioner Assistant Tulsa, OK

Practice location

Address
4500 S Garnett Rd Suite 919, Tulsa, OK 74146-5229
Phone
(918) 728-6145
Fax
(918) 728-6146
Mailing address
15790 S 4240 Rd, Claremore, OK 74017-0556

Registered specialties

Radiology Practitioner Assistant Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X

Registry record

NPI
1821233420
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Dec 2008
Record last updated
10 Dec 2008

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.