BERT ERIC BLACKWELL

TULSA, OK
NPI1649221177
Other NameERIC BLACKWELL
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine
(Licence: OK  3343)
Additional Taxonomies207Q00000X Family Medicine
(Licence: OK  3343)
Enumeration Date2006-05-12
Last Update Date2017-11-30
Business Address
Dr. BERT ERIC BLACKWELL D.O.
4538 S HARVARD AVE
TULSA, OK 74135-2906
Phone number: 918-712-3377
Mailing Address
Dr. BERT ERIC BLACKWELL D.O.
1145 S UTICA AVE STE 110
TULSA, OK 74104-4013
Phone number: 918-579-6863