Individual
BLAINE MATTHEW FIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3366 NW EXPRESSWAY STE 720, OKLAHOMA CITY, OK 73112-4416
(405) 727-3000
(405) 727-3007
Mailing address
3001 QUAIL SPRINGS PKWY FL 5, OKLAHOMA CITY, OK 73134-2640
(405) 727-3000
(405) 727-3007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5723
OK
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
03/16/2026
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