Theron Joseph Bliss, DO

NPI #1538364245 in Jenks, Oklahoma

Provider Information

NPI Number: 1538364245
Entity Type: Individual
Name: Theron Joseph Bliss, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 20, 2007
Last Updated: May 22, 2018

Practice Location

Address: 220 S ELM ST
City: Jenks
State: Oklahoma
ZIP Code: 74037
Phone: (918) 403-7144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Sports Medicine — Sports Medicine	207QS0010X
Family Medicine	207Q00000X	Primary

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