Organization
VALLEY VIEW FOOT & ANKLE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN A BLANCK DPM (PRESIDENT)
(580) 599-0001
Entity
Organization
Contact information
Practice address
1631 ARLINGTON ST, ADA, OK 74820-2639
(580) 559-0001
(580) 559-0002
Mailing address
1631 ARLINGTON ST, ADA, OK 74820-2639
(580) 559-0001
(580) 559-0002
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
253
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200119570A
—
OK
05
—
200119680A
—
OK
Enumeration date
07/25/2007
Last updated
02/22/2023
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