IndividualActive
Blake Atwood, PHD
NPI 1912859547 · Ph.D. Medical Genetics Physician · Jenks, OK
Provider details
- NPI number
- 1912859547
- Entity type
- Individual
- Primary specialty
- Ph.D. Medical Genetics PhysicianAllopathic & Osteopathic Physicians
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2019027 (ID)
Mailing address
224 N 6th St
Jenks, OK 74037-4101
Registry dates
- Enumerated
- 2026-02-14
- Last updated
- 2026-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.