| Blackwell Hmpn, Llc | |
|
600 E Grand Ave Suite 1 Tonkawa OK 74653-3558 | |
| (580) 628-2138 | |
| (580) 628-2293 |
| Full Name | Blackwell Hmpn, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 600 E Grand Ave, Tonkawa, Oklahoma |
| Authorized Official Name and Position | Staci Lucius (PRESIDENT) |
| Authorized Official Contact | 2395523575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackwell Hmpn, Llc 5811 Pelican Bay Blvd Ste 500 Naples FL 34108-2711 Ph: (239) 552-3131 | Blackwell Hmpn, Llc 600 E Grand Ave Suite 1 Tonkawa OK 74653-3558 Ph: (580) 628-2138 |
| NPI Number | 1457793093 |
|---|---|
| Provider Enumeration Date | 07/24/2013 |
| Last Update Date | 10/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457793093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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