# BLANCHARD FAMILY MEDICINE

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

## Provider details

- **NPI number:** 1952325557
- **Authorized official:** GREG L TERRELL (SR VP, COO)
- **Authorized official phone:** (405) 307-1000

## Contact information

- **Practice address:** 1019 N COUNCIL AVE, SUITE 1, BLANCHARD, OK 73010-8045
- **Practice address phone:** (405) 485-9321
- **Practice address fax:** (405) 485-3154
- **Mailing address:** PO BOX 1330, NORMAN, OK 73070-1330
- **Mailing address phone:** (405) 485-9321
- **Mailing address fax:** (405) 485-3154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 04/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100700690M | — | OK |