Christopher Sc Blaisdell
General Practice Physician
635 W 11th St Osu Medical Center - Department Of Internal Medicine
Tulsa
, Oklahoma 74127
Christopher Sc Blaisdell
General Practice Physician
635 W 11th St Osu Medical Center - Department Of Internal Medicine
Tulsa
, Oklahoma 74127
(617) 512-7201
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Christopher Sc Blaisdell
- 1611 S Utica Ave # 229
- Tulsa, OK
- Zip : 74104-4909
- Phone : (617) 512-7201
Second Address
- Christopher Sc Blaisdell
- 635 W 11th St Osu Medical Center - Department Of Internal Medicine
- Tulsa, OK
- Zip : 74127
- Phone : (918) 382-3535
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 5139 | OK |
National Provider Identifier
| NPI | 1013212331 |
|---|---|
| Provider Name | Christopher Sc Blaisdell |
| First Address | Tulsa, OK 74104-4909 |
| Second Address | Tulsa, OK 74127 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2011 |
| Last Update Date | 07/07/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.