Blake A Badgett MD PC
Family Medicine in Weatherford, OK. Organization (NPI-2).
NPI number1215148044
StatusActive
Last updated in NPPESFeb 10, 2016
Details
- NPI
- 1215148044
- Entity type
- Organization (NPI-2)
- Legal business name
- Blake A Badgett MD PC
- Organization subpart
- No
- Enumeration date
- May 24, 2007
- Last updated
- Feb 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 22800 | OK | Yes |
Practice location
3731 LegacyWeatherford, OK 73096-9746
Phone 580-772-6777 · Fax 580-772-2510
Mailing address
3731 LegacyWeatherford, OK 73096-0000
Phone 580-772-6777 · Fax 580-772-2510
Authorized official
Blake Allen Badgett
Owner
5807726777
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