Individual
AMBER BLAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3330 NW 56TH ST, STE 208, OKLAHOMA CITY, OK 73112-4479
(405) 604-0688
Mailing address
3330 NW 56TH ST, STE 208, OKLAHOMA CITY, OK 73112-4479
(405) 604-0688
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2354
OK
Other
Enumeration date
02/26/2014
Last updated
02/23/2015
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