Individual
DONNA C. BLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4300 W MEMORIAL RD, ER DEPT, OKLAHOMA CITY, OK 73120-8304
(405) 752-3733
(405) 749-4561
Mailing address
4401 W MEMORIAL RD, SUITE 121, OKLAHOMA CITY, OK 73134-1785
(405) 751-4664
(405) 749-4561
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0042209
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100204550B
—
OK
05
—
100204550P
—
OK
Enumeration date
04/04/2006
Last updated
12/18/2009
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