Robert V Blakeburn Md Pc

LBN: Robert V Blakeburn Md Pc
Robert V Blakeburn Md Pc is an health care organization with primary practice located at 800 Frisco Ave , Clinton OK 73601-3306. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Robert V Blakeburn Md Pc can be contacted via phone (580) 323-2700, or through Blakeburn, Robert Van via phone (580) 323-2700.

Contact Information

Primary practice address
800 Frisco Ave Clinton OK 73601-3306
Phone: (580) 323-2700
Fax: (580) 323-2718
Website:
Map and Directions
Authorized official contact:
Name: Blakeburn, Robert Van Doctor of Medicine (MD)
Phone: (580) 323-2700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17199 Oklahoma

Profile Details

NPI number 1033106448
LBN Legal business name Robert V Blakeburn Md Pc
DBA Doing business as
Authorized official Blakeburn, Robert Van Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2005
Last updated Aug 26th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033106448 NPPES
Oklahoma MEDICAID 100110960C

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