Individual
MR. JOSEPH R BLYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13100 N WESTERN AVE STE 200, OKLAHOMA CITY, OK 73114-1431
(405) 418-4500
(405) 418-4501
Mailing address
PO BOX 269083, DEPT 1127, OKLAHOMA CITY, OK 73126-9083
(405) 418-4500
(405) 418-4501
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
64999
WI
207X00000X
Orthopaedic Surgery Physician
Primary
8353
OK
207X00000X
Orthopaedic Surgery Physician
DO 2653
TN
207XS0117X
Orthopaedic Surgery of the Spine Physician
DO2653
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q008670
—
TN
Enumeration date
03/06/2008
Last updated
05/20/2024
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