Individual
CAROLINE BLAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4417
Mailing address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4417
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
35877
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2020
Last updated
10/01/2024
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