Individual
DARNELL E. BLACKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8660 E 103RD ST, TULSA, OK 74133-6982
(918) 830-0059
Mailing address
8660 E 103RD ST, TULSA, OK 74133-6982
(918) 970-6194
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
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