Individual
ELROY YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3011 E 103RD ST, TULSA, OK 74137-5703
(109) 188-0776
Mailing address
3011 E 103RD ST, TULSA, OK 74137-5703
(109) 188-0776
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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