# BLICK MEDICAL LLC

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

## Provider details

- **NPI number:** 1467976654
- **Authorized official:** BRIAN BLICK MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (580) 339-8001

## Contact information

- **Practice address:** 1007 N MAIN ST STE 101, ELK CITY, OK 73644-2830
- **Practice address phone:** (580) 339-8001
- **Practice address fax:** (580) 339-8031
- **Mailing address:** 1710 W 3RD ST STE 100, ELK CITY, OK 73644-5160
- **Mailing address phone:** (580) 339-8001
- **Mailing address fax:** (580) 339-8031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/28/2017
- **Last updated:** 05/01/2023