NPI: 1346855640 · BROKEN ARROW, OK 74012 · Family Medicine Physician · NPI assigned 09/14/2020
| Authorized Official | BLACKSTAD, DENNIS (OWNER) |
| NPI Enumeration Date | 09/14/2020 |
Other providers sharing the same authorized official: BLACKSTAD, DENNIS
| Provider | City | State | Total Paid |
|---|---|---|---|
| MEDWISE LLC | COWETA | OK | $11.08M |
| ALLCARE GROUP PLLC | SAPULPA | OK | $256K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 18 | $143.10 |
| 2023 | 166 | $3K |