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Organization
BLANCHARD FAMILY MEDICINE
Active
Organization
BLANCHARD FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG L TERRELL (SR VP, COO)
(405) 307-1000
Entity
Organization
Contact information
Practice address
1019 N COUNCIL AVE, SUITE 1, BLANCHARD, OK 73010-8045
(405) 485-9321
(405) 485-3154
Mailing address
PO BOX 1330, NORMAN, OK 73070-1330
(405) 485-9321
(405) 485-3154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700690M
—
OK
Enumeration date
07/27/2006
Last updated
04/20/2012
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