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ROBERT WILLIAM BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-0612
(918) 481-5170
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
898076
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
200198
OK
367500000X
Certified Registered Nurse Anesthetist
AP140507
TX

Other

Enumeration date
10/10/2018
Last updated
04/29/2022
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