Individual
MATTHEW BLEDSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 S GARNETT RD STE 112, TULSA, OK 74146-5201
(918) 935-3550
(918) 935-3581
Mailing address
4500 S GARNETT RD STE 112, TULSA, OK 74146-5201
(918) 935-3550
(918) 935-3581
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015017892
MO
2085R0202X
Diagnostic Radiology Physician
Primary
38165
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2015
Last updated
07/30/2021
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