Individual
JOEL EVAN BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
4500 S GARNETT RD, SUITE 919, TULSA, OK 74146-5229
(918) 728-6145
(918) 728-6146
Mailing address
15790 S 4240 RD, CLAREMORE, OK 74017-0556
(918) 606-0137
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
—
—
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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