Individual
ROBERT BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 712-3366
(918) 403-6343
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 712-3366
(918) 403-6343
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
12857
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184350A
—
OK
01
—
P00324056
RR MEDICARE
OK
Enumeration date
07/12/2006
Last updated
03/07/2018
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