Individual
DARNELL E. BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
BB7225988
OK
207X00000X
Orthopaedic Surgery Physician
Primary
22856
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218010A
—
OK
Enumeration date
03/31/2006
Last updated
03/18/2024
Update your record
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