Medwise LLC

NPI #1447064175 in Sand Springs, Oklahoma

Provider Information

NPI Number
1447064175
Entity Type
Organization
Organization Name
Medwise LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDWISE LLC
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Feb 4, 2025
Last Updated
Feb 4, 2025

Practice Location

Address
110 E 41ST ST
ZIP Code
74063-3851
Phone
(918) 727-2831

Authorized Official

Name
DENNIS SIDNEY BLACKSTAD, MD
Title
PRESIDENT
Phone
(918) 605-6582

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care

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