Organization
DEBORAH S BLALOCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH S BLALOCK MD (PRESIDENT)
(405) 272-6909
Entity
Organization
Contact information
Practice address
608 NW 9TH ST, SUITE 6110, OKLAHOMA CITY, OK 73102-1049
(405) 272-6909
(405) 231-3723
Mailing address
PO BOX 60248, OKLAHOMA CITY, OK 73146-0248
(405) 231-3857
(405) 942-7743
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200079450A
—
OK
Enumeration date
06/13/2006
Last updated
06/04/2010
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