Individual provider · NPI-1

Dr. Blake Allen Badgett, M.D.

Family Medicine · Weatherford, OK

NPI number1376636084
StatusActive
Last updated in NPPESSep 25, 2024

Details

NPI
1376636084
Entity type
Individual (NPI-1)
Name
Dr. Blake Allen Badgett
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 2, 2006
Certification date
Sep 25, 2024
Last updated
Sep 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine22800OKYes

Practice location

3731 Legacy
Weatherford, OK 73096-9746

Phone 580-772-6777 · Fax 580-772-2510

Mailing address

3731 Legacy
Weatherford, OK 73096-9746

Phone 580-772-6777 · Fax 580-772-2510

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