Individual
DR. AMBER BAZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5711 E 71ST ST STE 100, TULSA, OK 74136-6655
(918) 203-6800
(918) 203-6801
Mailing address
5711 E 71ST ST, TULSA, OK 74136-6628
(918) 203-6800
(918) 203-6801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29767
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05212
—
LA
Enumeration date
05/14/2008
Last updated
08/15/2022
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