Organization
JON W BLASCHKE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON WORD BLASCHKE M.D. (PRESIDENT)
(405) 232-3095
Entity
Organization
Contact information
Practice address
608 NW 9TH ST, SUITE 4204, OKLAHOMA CITY, OK 73102-1049
(405) 232-3095
(405) 232-3094
Mailing address
608 NW 9TH ST, SUITE 4204, OKLAHOMA CITY, OK 73102-1049
(405) 232-3095
(405) 232-3094
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
11711
OK
Other
Enumeration date
04/27/2009
Last updated
06/08/2009
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