Individual
JOHN B BLACKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3715
Mailing address
125 MEADOW LN, CHANDLER, OK 74834-8786
(405) 397-1664
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R0135144
OK
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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