SearchOklahoma183500000X

Ben Blackburn, DPH

NPI 1932480498 · on the registry since 2011 · sole proprietor

Practice

Address
16657 E 122nd St N
Collinsville, OK 74021
Phone
(918) 688-8578

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-08-29

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