Organization
BLUESTAR CMB INCORPORATED
Active
Organization
BLUESTAR CMB INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE LYNN BUCKLEY (DIRECTOR)
(405) 408-3034
Entity
Organization
Contact information
Practice address
2316 NW 23RD ST, OKLAHOMA CITY, OK 73107-2406
(405) 408-3034
(405) 525-3360
Mailing address
2316 NW 23RD ST, OKLAHOMA CITY, OK 73107-2406
(405) 408-3034
(405) 525-3360
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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