Organization
BLAKE A BADGETT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE ALLEN BADGETT MD (OWNER)
(580) 772-6777
Entity
Organization
Contact information
Practice address
3731 LEGACY, WEATHERFORD, OK 73096-9746
(580) 772-6777
(580) 772-2510
Mailing address
3731 LEGACY, WEATHERFORD, OK 73096-0000
(580) 772-6777
(580) 772-2510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22800
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090510 A
—
OK
Enumeration date
05/24/2007
Last updated
02/10/2016
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