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Individual

DR. RANDY BLAKE PATTERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1831 E 71ST ST, TULSA, OK 74136-3922
(877) 866-7123
Mailing address
1112 HUNTINGTON AVE, NICHOLS HILLS, OK 73116-6213
(405) 473-0210

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
31329
OK
208D00000X
General Practice Physician
Primary
31329
OK

Other

Enumeration date
07/10/2015
Last updated
05/16/2024
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