NPI 1902950165 · live from the CMS NPI Registry
Matt Morey Blankenship, M.D.
Internal Medicine, Gastroenterology in Tulsa, OK. National Provider Identifier 1902950165, active.
NPI record
| NPI | 1902950165 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 10507 E 91st St, 270, Tulsa, OK 74133 |
| Practice phone | 918-307-5480 |
| Mailing address | Po Box 305, Lowell, AR 72745 |
| Enumerated | January 23, 2007 |
| Last updated | March 29, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 22457 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.