NPI 1821233420
Joel Evan Blackwood, RPA
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
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.