Individual
GARRETT BLUBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8307 E 60TH ST APT 2127, TULSA, OK 74145-5014
(817) 602-0566
Mailing address
8307 E 60TH ST APT 2127, TULSA, OK 74145-5014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
10/04/2019
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