DR. Bryan Andrew Blanck, D.P.M.

NPI #1215906276 in Ada, Oklahoma

Provider Information

NPI Number: 1215906276
Entity Type: Individual
Name: DR. Bryan Andrew Blanck, D.P.M.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: Mar 14, 2006
Last Updated: Feb 22, 2023

Practice Location

Address: 1631 ARLINGTON ST
City: Ada
State: Oklahoma
ZIP Code: 74820-2639
Phone: (580) 559-0001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine	213EP1101X
Podiatrist - Radiology — Radiology	213ER0200X
Podiatrist - Sports Medicine — Sports Medicine	213ES0000X
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Podiatrist	213E00000X	Primary

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