Blackwell Feet Plus, L.l.c.

NPI #1003091810 in Blackwell, Oklahoma

Provider Information

NPI Number: 1003091810
Entity Type: Organization
Organization Name: Blackwell Feet Plus, L.l.c.
Primary Specialty: Clinic/Center
Enumeration Date: Dec 31, 2007
Last Updated: Dec 31, 2007

Practice Location

Address: 118 S 1ST ST
Address 2: SUITE B
City: Blackwell
State: Oklahoma
ZIP Code: 74631-2830
Phone: (580) 363-7255

Authorized Official

Name: MS. KATHY CARTER BOSS, B.A.
Title: OWNER
Phone: (918) 762-3601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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