Individual
DR. GREGORY L. BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 S MICKEY MANTLE DR, SUITE 325, OKLAHOMA CITY, OK 73104-2458
(405) 232-0101
(405) 232-0102
Mailing address
PO BOX 268922, OKLAHOMA CITY, OK 73126-8922
(405) 231-3857
(405) 272-7977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19544
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091280A
—
OK
01
—
OK700309
PTAN
—
Enumeration date
06/12/2006
Last updated
02/14/2013
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