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Organization

BLACKWELL FAMILY MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA J FAIR (OFFICE MANGER)
(580) 363-0052
Entity
Organization

Contact information

Practice address
1009 W FERGUSON AVE, BLACKWELL, OK 74631-5602
(580) 363-0052
(580) 363-0894
Mailing address
1009 W FERGUSON AVE, BLACKWELL, OK 74631-5602
(580) 363-0052
(580) 363-0894

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
01/27/2025
Last updated
01/27/2025
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