Individual
DEBORAH SUE BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10914 HEFNER POINTE DR, SUITE 304, OKLAHOMA CITY, OK 73120
(405) 608-2772
(405) 608-2324
Mailing address
10914 HEFNER POINTE DR, SUITE 304, OKLAHOMA CITY, OK 73120
(405) 608-2772
(405) 608-2324
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
17054
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100130200A
—
OK
Enumeration date
06/06/2006
Last updated
10/02/2015
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