Dr. Eric Dean Blackwood, D.C.
Chiropractor in Muskogee, OK. Individual provider (NPI-1).
NPI number1619052016
StatusActive
Last updated in NPPESFeb 5, 2019
Details
- NPI
- 1619052016
- Entity type
- Individual (NPI-1)
- Name
- Dr. Eric Dean Blackwood
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2006
- Last updated
- Feb 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 3585 | OK | Yes |
Practice location
2025 W Broadway StMuskogee, OK 74401-2759
Phone 918-683-2258 · Fax 918-683-2258
Mailing address
2025 W Broadway StMuskogee, OK 74401-2759
Phone 918-683-2258 · Fax 918-683-2258
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