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Dr. Bryan Andrew Blanck, DPM
Podiatrist in Ada, Oklahoma
NPI 1215906276

Bryan Andrew Blanck is a Podiatrist based in Ada, OK. Bryan Andrew Blanck practices in Ada, OK and has the professional credentials of DPM. The NPI Number for Bryan Andrew Blanck is 1215906276 and holds a License No. 253 (Oklahoma).

The current practice location address for Bryan Andrew Blanck is 1631 Arlington St, Ada, OK and can be reached out via phone at 580-559-0001 and via fax at 580-559-0002.

Location: 1631 Arlington St, Ada, OK, 74820-2639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215906276
Provider Name
Bryan Andrew Blanck
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1631 Arlington St, Ada, OK, 74820-2639
Phone Number
580-559-0001
Fax Number
580-559-0002
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200119690A 05 OK
institution
Provider Business Practice Location Address Details
Address
1631 Arlington St
City
Ada
State
Oklahoma
Zip
74820-2639
Phone Number
580-559-0001
Fax Number
580-559-0002
person
Provider Business Mailing Address Details
Address
1631 Arlington St
City
Ada
State
Oklahoma
Zip
74820-2639
Phone Number
580-559-0001
Fax Number
580-559-0002
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
253 (Oklahoma)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
253 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
213ER0200X
License No.
253 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
253 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
253 (Oklahoma)
Definition
Definition to come...
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