Individual
ALEXANDRIA MARIE BLAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
301 S MUSTANG RD, YUKON, OK 73099-6704
(405) 324-1911
Mailing address
7134 S YALE AVE STE 500, TULSA, OK 74136-6352
(918) 392-4763
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2940
OK
Other
Enumeration date
06/11/2018
Last updated
06/17/2026
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