Medwise LLC
NPI #1730993460 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1730993460
- 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
- 2550 N 9TH ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-2897
- Phone
- (918) 727-2850
Authorized Official
- Name
- DENNIS SIDNEY BLACKSTAD, MD
- Title
- PRESIDENT
- Phone
- (918) 605-6582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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