Individual
BLAKE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114
(405) 230-9000
(405) 230-9175
Mailing address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 230-9000
(405) 230-9175
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
5599
OK
207QS0010X
Sports Medicine (Family Medicine) Physician
Q8566
TX
Other
Enumeration date
03/13/2013
Last updated
07/28/2025
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