Blue Star Medical Group Pllc
NPI #1619126489 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1619126489
- Entity Type
- Organization
- Organization Name
- Blue Star Medical Group Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 16, 2008
- Last Updated
- Sep 16, 2008
Practice Location
- Address
- 3115 SW 89TH ST
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73159-7901
- Phone
- (405) 424-5630
Authorized Official
- Name
- GLENDA COHRS
- Title
- ADMINISTRATOR
- Phone
- (405) 424-5630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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