Provider Demographics
NPI:1114965027
Name:BLAND, FRANCIS ROLLIN (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:ROLLIN
Last Name:BLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36488 S. HWY. 82
Mailing Address - Street 2:GRAND LAKE MEDICAL PARK - LANGLEY
Mailing Address - City:VINITA
Mailing Address - State:OK
Mailing Address - Zip Code:74301
Mailing Address - Country:US
Mailing Address - Phone:918-782-1881
Mailing Address - Fax:918-782-4266
Practice Address - Street 1:36488 S. HWY. 82
Practice Address - Street 2:GRAND LAKE MEDICAL PARK - LANGLEY
Practice Address - City:VINITA
Practice Address - State:OK
Practice Address - Zip Code:74301
Practice Address - Country:US
Practice Address - Phone:918-782-1881
Practice Address - Fax:918-782-4266
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK9084207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D38642Medicare UPIN
OKD38642Medicare UPIN