Medwise LLC
NPI #1487454658 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1487454658
- Entity Type
- Organization
- Organization Name
- Medwise LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDWISE LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 17, 2025
- Last Updated
- Mar 17, 2025
Practice Location
- Address
- 1095 N ASPEN AVE
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-9641
- Phone
- (918) 727-2831
Authorized Official
- Name
- DENNIS SIDNEY BLACKSTAD, MD
- Title
- PRESIDENT
- Phone
- (918) 605-6582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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