BLACKWELL HMPN, LLC

BLACKWELL, OK
NPI1255602355
Entity TypeOrganization
Authorized ContactMICHAEL L GINGRAS
Vice President
239-598-3131
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2012-01-20
Last Update Date2012-11-26
Business Address
BLACKWELL HMPN, LLC
1005 W DOOLIN AVE
BLACKWELL, OK 74631-1350
Phone number: 580-363-9466
Mailing Address
BLACKWELL HMPN, LLC
5811 PELICAN BAY BLVD SUITE 500
NAPLES, FL 34108-2733
Phone number: 239-598-3131