Organization
BLUE STEM CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN M JENSEN (PRACTICE MANAGER)
(918) 331-2577
Entity
Organization
Contact information
Practice address
3400 SE FRANK PHILLIPS, # 502, BARTLESVILLE, OK 74006
(918) 331-2577
(918) 331-2513
Mailing address
3400 SE FRANK PHILLIPS, # 502, BARTLESVILLE, OK 74006
(918) 331-2577
(918) 331-2513
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100749340A
—
OK
Enumeration date
07/31/2006
Last updated
11/19/2009
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