Organization
ALLCARE GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS S BLACKSTAD D.O. (OWNER)
(918) 216-4006
Entity
Organization
Contact information
Practice address
730 E TAFT AVE, SAPULPA, OK 74066-5766
(918) 216-4006
(918) 216-4007
Mailing address
PO BOX 1109, SAPULPA, OK 74067-1109
(918) 216-4006
(918) 216-4007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3650
OK
363AM0700X
Medical Physician Assistant
1327
OK
Other
Enumeration date
02/28/2011
Last updated
08/03/2023
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