| Allcare Pllc | |
|
730 E Taft Ave Sapulpa OK 74066-5766 | |
| (918) 216-4006 | |
| (918) 216-4007 |
| Full Name | Allcare Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 730 E Taft Ave, Sapulpa, Oklahoma |
| Authorized Official Name and Position | Dennis S Blackstad (OWNER) |
| Authorized Official Contact | 9182164006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allcare Pllc Po Box 1109 Sapulpa OK 74067-1109 Ph: (918) 216-4006 | Allcare Pllc 730 E Taft Ave Sapulpa OK 74066-5766 Ph: (918) 216-4006 |
| NPI Number | 1417253022 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 02/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417253022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3650 (Oklahoma) | Primary |
| 363AM0700X | Physician Assistant - Medical | 1327 (Oklahoma) | Secondary |
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