Organization
GEORGE J BLAKE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE JACOB BLAKE MD (PHYSICIAN-OWNER)
(918) 828-0230
Entity
Organization
Contact information
Practice address
5153 E 51ST ST, SUITE 100, TULSA, OK 74135-7456
(918) 828-0230
(918) 828-0231
Mailing address
5153 E 51ST ST, SUITE 100, TULSA, OK 74135-7456
(918) 828-0230
(918) 828-0231
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18245
OK
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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