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Individual

BRIAN E BLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1007 N MAIN ST STE 101, ELK CITY, OK 73644-2830
(580) 339-8001
(580) 339-8031
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0177

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
332519
LA
207L00000X
Anesthesiology Physician
9408224
KS
207LP2900X
Pain Medicine (Anesthesiology) Physician
332519
LA

Other

Enumeration date
06/11/2013
Last updated
05/01/2023
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