Individual provider · Type 1 NPI

Travis Wayne Blalock, MD

MOHS-Micrographic Surgery Physician · Oklahoma City, OK

NPI number 1710195003 Active

Practice location

619 NE 13th St
Oklahoma City, OK 73104-5001

Mailing address

1525 Clifton Rd NE Ste 112A
Atlanta, GA 30322-4200

Specialties and licenses

TaxonomyCodeLicense
MOHS-Micrographic Surgery Physician Primary 207ND0101X73100 (GA)
Procedural Dermatology Physician 207NS0135XA116875 (CA)

MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…

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About NPI 1710195003

Travis Wayne Blalock, MD's National Provider Identifier is 1710195003, issued on May 18, 2007. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Oklahoma City, OK. The record was last updated on Feb 12, 2021.