Individual
DR. JEFFERY JAMES BLONSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10507 E 91ST ST # 270, TULSA, OK 74133-5589
(918) 307-5480
Mailing address
6465 S YALE AVE STE 1002, TULSA, OK 74136-7812
(918) 481-4700
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
04-31177
KS
207RG0100X
Gastroenterology Physician
11673
ND
207RG0100X
Gastroenterology Physician
Primary
30250
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15750
—
ND
05
—
200536180A
—
OK
Enumeration date
07/20/2006
Last updated
08/11/2014
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