DR. Laura Marie Black-Wicks, DO

NPI #1184607517 in Eufaula, Oklahoma

Provider Information

NPI Number: 1184607517
Entity Type: Individual
Name: DR. Laura Marie Black-Wicks, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Nov 21, 2005
Last Updated: Feb 18, 2020

Practice Location

Address: 111 W FORREST AVE STE B
City: Eufaula
State: Oklahoma
ZIP Code: 74432-3205
Phone: (918) 490-7011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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