NPI 1679871610 · live from the CMS NPI Registry
Allcare Group PLLC
Family Medicine in Sapulpa, OK. National Provider Identifier 1679871610, active.
NPI record
| NPI | 1679871610 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 730 E Taft Ave, Sapulpa, OK 74066 |
| Practice phone | 918-216-4006 |
| Mailing address | Po Box 1109, Sapulpa, OK 74067 |
| Enumerated | February 28, 2011 |
| Last updated | August 3, 2023 |
| Authorized official | Dennis Blackstad, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 1327 (OK) |
| Family Medicine primary | 207Q00000X | 3650 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.