Individual
DR. BLAINE AUSTIN EGGEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 619-4400
(918) 619-4334
Mailing address
1083 QUAIL DR, FESTUS, MO 63028-1266
(636) 232-3229
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
05/01/2023
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