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Dr. Travis Wayne Blalock, MD
Procedural Dermatology Physician in Oklahoma City, Oklahoma
NPI 1710195003

Travis Wayne Blalock is a Procedural Dermatology Physician based in Atlanta, OK and is specialized in Procedural Dermatology. Travis Wayne Blalock practices in Oklahoma City, OK and has the professional credentials of MD. The NPI Number for Travis Wayne Blalock is 1710195003 and holds a License No. 73100 (Oklahoma).

The current practice location address for Travis Wayne Blalock is 619 Ne 13Th St, Oklahoma City, OK and can be reached out via phone at 405-271-6110. You can also correspond with Travis Wayne Blalock through the mailing address at 1525 CLIFTON RD NE STE 112A, ATLANTA, GA - 30322-4200 (mailing address contact number: 404-778-3333).

Location: 619 Ne 13Th St, Oklahoma City, OK, 30322-4200
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Provider Profile Details
NPI Number
1710195003
Provider Name
Travis Wayne Blalock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
619 Ne 13Th St, Oklahoma City, OK, 30322-4200
Phone Number
405-271-6110
Fax Number
Provider Enumeration Date
05/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
619 Ne 13Th St
City
State
Zip
73104-5001
Phone Number
405-271-6110
Fax Number
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Provider Business Mailing Address Details
Address
1525 Clifton Rd Ne Ste 112A
City
State
Zip
30322-4200
Phone Number
404-778-3333
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
License No.
A116875 (California)
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
License No.
73100 (Georgia)
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
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