Search › Oklahoma › 207PE0005X
Bert Blackwell, D.O
NPI 1649221177 · on the registry since 2006
Practice
- Address
- 4538 S Harvard Ave
Tulsa, OK 74135 - Phone
- (918) 712-3377
- Fax
- (918) 712-3373
- Organisation at this address
- Wound Care Of Tulsa Pc
Foot And Ankle Specialist Of OklahomaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207PE0005X
207PE0005X
- Also registered as
- 207Q00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma