Individual
JUDY BLEBEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
940 NE 13TH ST, SUITE 4G 4250, OKLAHOMA CITY, OK 73104-5008
(405) 271-5125
Mailing address
940 NE 13TH ST, SUITE 4G 4250, OKLAHOMA CITY, OK 73104-5008
(405) 271-5125
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD063591L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016735320015
—
PA
Enumeration date
06/25/2006
Last updated
09/10/2012
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