# ROBERT V BLAKEBURN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033106448
- **Authorized official:** ROBERT VAN BLAKEBURN MD (PRESIDENT/OWNER)
- **Authorized official phone:** (580) 323-2700

## Contact information

- **Practice address:** 800 FRISCO AVE, CLINTON, OK 73601-3306
- **Practice address phone:** (580) 323-2700
- **Practice address fax:** (580) 323-2718
- **Mailing address:** 800 FRISCO AVE, CLINTON, OK 73601-3306
- **Mailing address phone:** (580) 323-2700
- **Mailing address fax:** (580) 323-2718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 17199 | OK | Yes |

## Other

- **Enumeration date:** 09/30/2005
- **Last updated:** 04/01/2026