Medwise LLC

NPI #1699575860 in Bixby, Oklahoma

Provider Information

NPI Number
1699575860
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
14777 S MEMORIAL DR
City
Bixby
ZIP Code
74008-4372
Phone
(918) 727-2821

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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