| Bluth Family Medicine, Llc | |
|
1315 N Washington St Weatherford OK 73096-2443 | |
| (580) 772-2344 | |
| (580) 772-2330 |
| Full Name | Bluth Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1315 N Washington St, Weatherford, Oklahoma |
| Authorized Official Name and Position | Brian Lee Bluth (OWNER/ MEDICAL DOCTOR) |
| Authorized Official Contact | 5807722344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluth Family Medicine, Llc 1315 N Washington St Weatherford OK 73096-5437 Ph: (580) 772-2344 | Bluth Family Medicine, Llc 1315 N Washington St Weatherford OK 73096-2443 Ph: (580) 772-2344 |
| NPI Number | 1487883112 |
|---|---|
| Provider Enumeration Date | 07/01/2009 |
| Last Update Date | 11/19/2018 |
| Medicare PECOS PAC ID | 0244383339 |
|---|---|
| Medicare Enrollment ID | O20090807000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487883112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27013 (Oklahoma) | Primary |
| Provider Name | Brian L Bluth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215043435 PECOS PAC ID: 7416024443 Enrollment ID: I20090807000086 |
| Provider Name | Nichole Marie Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154027829 PECOS PAC ID: 0244684587 Enrollment ID: I20230920003672 |
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