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NPI Verification

National Provider Identifier: 1164419560

Robert Van Blakeburn, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (3)

Physical Medicine & Rehabilitation

Code: 208100000X

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

800 FRISCO AVE

CLINTON, OK 736013306

Phone: 580-323-2700

NPI Enumeration Date

September 30, 2005

NPI Number

1164419560

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry