Organization
TULSA PERINATAL EVALUATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE FAITH BLAKE M.D. (OWNER/PRESIDENT)
(918) 747-9641
Entity
Organization
Contact information
Practice address
2000 S. WHEELING AVE, SUITE 800, TULSA, OK 74104
(918) 747-9641
(918) 749-7806
Mailing address
2000 S. WHEELING AVE, SUITE 800, TULSA, OK 74104
(918) 747-9641
(918) 749-7806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18069
OK
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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