Individual
GEOFFREY BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10506 SOUTH MEMORIAL DRIVE, TULSA, OK 74133
(918) 369-3200
Mailing address
6600 S YALE AVE, SUITE 1200, TULSA, OK 74136-3347
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2450
OK
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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