Organization
BLICK MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BLICK MD (PHYSICIAN/OWNER)
(580) 339-8001
Entity
Organization
Contact information
Practice address
1007 N MAIN ST STE 101, ELK CITY, OK 73644-2830
(580) 339-8001
(580) 339-8031
Mailing address
1710 W 3RD ST STE 100, ELK CITY, OK 73644-5160
(580) 339-8001
(580) 339-8031
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200734120A
—
OK
Enumeration date
07/28/2017
Last updated
05/01/2023
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