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NPI Code Detail

MEDICARE: BLAKE PRESTON PARSONS D.O.

MEDICARE: BLAKE PRESTON PARSONS D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0204XVascular & Interventional Radiology Physician5261OK

General Provider Information

NPI Number : 1124319199
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLAKE PRESTON PARSONS D.O.
Provider Business Mailing Address
First Line : 3200 QUAIL SPRINGS PKWY STE 200
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-2699
Country : US
Telephone Number : 405-701-9880
Fax Number :
Provider Business Practice Location Address
First Line : 3200 QUAIL SPRINGS PKWY STE 200
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-2699
Country : US
Telephone Number : 405-701-9880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2011
Last Update Date : 07/21/2022

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Directions to “ BLAKE PRESTON PARSONS D.O.” Practice Location

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