Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRYAN ANDREW BLANCK, D.P.M.
Active Sole ProprietorDR. BRYAN ANDREW BLANCK, D.P.M. is a Podiatrist healthcare provider located in ADA, Oklahoma. NPI 1215906276 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · ADA, OK
Registration Details
- NPI Number
- 1215906276
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2006 (20.379510813206 yrs)
- Last Updated
- Feb 22, 2023
- Licenses
-
253 (OK)253 (OK)253 (OK)253 (OK)253 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1631 ARLINGTON STADA, OK, 748202639Browse OK providers · Browse ZIP 74820
- Phone
- 5805590001
- Fax
- 5805590002
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Radiology Podiatrist
- Additional Specialty
- Sports Medicine Podiatrist
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
- Additional Specialty
- Podiatrist
Other Podiatrist Providers in ADA, OK
| Name | Credential | NPI |
|---|---|---|
| DR. AERIAL A AVERY | D.P.M | 1194915538 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.