Medwise LLC

NPI #1629604434 in Coweta, Oklahoma

Provider Information

NPI Number
1629604434
Entity Type
Organization
Organization Name
Medwise LLC
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Mar 13, 2020
Last Updated
Oct 24, 2024

Practice Location

Address
11495 S. STATE HIGHWAY 51
City
Coweta
ZIP Code
74429
Phone
(225) 936-9186

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care

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