Individual
GEORGE JACOB BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5153 E 51ST ST, SUITE 100, TULSA, OK 74135-7456
(918) 828-0230
(918) 828-0231
Mailing address
5153 E 51ST ST, SUITE 100, TULSA, OK 74135-7456
(918) 828-0230
(918) 828-0231
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18245
OK
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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