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BLUTH FAMILY MEDICINE LLC NPI 1487883112


NPI Information

NPI: 1487883112
Provider Name: BLUTH FAMILY MEDICINE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 37D1102843

Address:
1315 N WASHINGTON ST
WEATHERFORD, OK
ZIP 73096
Phone: (580) 772-2344
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BLUTH FAMILY MEDICINE, LLC is a family medicine in Weatherford, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BLUTH FAMILY MEDICINE, LLC NPI is 1487883112. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1315 N WASHINGTON ST
WEATHERFORD, OK
ZIP 73096-443
Phone: (580) 772-2344
Fax: (580) 772-2330

The provider's authorized official is Brian Lee Bluth .
The authorized official title is Owner/ Medical Doctor and has the following contact phone number (580) 772-2344.

The CLIA number assigned to this NPI record is 37D1102843 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2009 and was last updated on 11/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine27013OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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