DR. TRAVIS BLALOCK, M.D.

Dermatology - MOHS-Micrographic Surgery

Active Individual
NPI: 1710195003

Practice Address

619 NE 13TH ST
Oklahoma City, OK 73104

Phone: (405) 271-6110

Specialties

Specialty Code Primary License
Dermatology - MOHS-Micrographic Surgery 207ND0101X Yes 73100 (GA)
Dermatology - Procedural Dermatology 207NS0135X No A116875 (CA)

Frequently Asked Questions

NPI 1710195003 is the National Provider Identifier for DR. TRAVIS BLALOCK, M.D., a Dermatology - MOHS-Micrographic Surgery provider located in Oklahoma City, OK. This NPI was enumerated on May 18, 2007.
DR. TRAVIS BLALOCK, M.D. practices at 619 NE 13TH ST, Oklahoma City, OK 73104.

Quick Facts

NPI
1710195003
Type
Individual
Enumerated
May 18, 2007
Last Updated
Feb 12, 2021

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