Individual
DR. BLAKE ZOELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6999 S MEMORIAL DRIVE, TULSA, OK 74133-2052
(918) 461-2020
(918) 461-2022
Mailing address
8931 S DARLINGTON AVE, TULSA, OK 74137
(918) 706-9393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3105
OK
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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