| Deborah S Blalock | |
|
608 Nw 9th St Suite 6110 Oklahoma City OK 73102-1049 | |
| (405) 272-6909 | |
| (405) 231-3723 |
| Full Name | Deborah S Blalock |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 608 Nw 9th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Deborah S Blalock (PRESIDENT) |
| Authorized Official Contact | 4052726909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah S Blalock Po Box 60248 Oklahoma City OK 73146-0248 Ph: (405) 231-3857 | Deborah S Blalock 608 Nw 9th St Suite 6110 Oklahoma City OK 73102-1049 Ph: (405) 272-6909 |
| NPI Number | 1427091271 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 06/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427091271 | NPI | - | NPPES |
| 200079450A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
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Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
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