Organization
NORTHERN OKLAHOMA ADDICTION CLINIC
Active
Other names
NOAC
Organization subpart
No
Provider details
NPI number
Authorized official
ALEN BLACKSHEAR (PROVIDER CONTACT)
(918) 645-9999
Entity
Organization
Contact information
Practice address
304 BOULDER ST, PAWNEE, OK 74058-4028
(918) 762-3663
(918) 762-2544
Mailing address
304 BOULDER ST, PAWNEE, OK 74058-4028
(918) 762-3663
(918) 762-2544
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
1532
OK
Other
Enumeration date
01/08/2017
Last updated
01/08/2017
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