Individual
BLAKE LOUIS ATWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
224 N 6TH ST, JENKS, OK 74037-4101
(918) 810-8233
Mailing address
224 N 6TH ST, JENKS, OK 74037-4101
(918) 810-8233
Taxonomy
Speciality
Code
Description
License number
State
207SG0205X
Ph.D. Medical Genetics Physician
Primary
2019027
ID
Other
Enumeration date
02/14/2026
Last updated
04/14/2026
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