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Charles Blagovich
Family Nurse Practitioner in Tulsa, Oklahoma
NPI 1053763334

Charles Blagovich is a Family Nurse Practitioner based in Tulsa, OK and is specialized in Family. Charles Blagovich practices in Tulsa, OK. The NPI Number for Charles Blagovich is 1053763334 and holds a License No. 121198 (Oklahoma).

The current practice location address for Charles Blagovich is 6600 S Yale Ave, Tulsa, OK and can be reached out via phone at 740-505-7569.

Location: 6600 S Yale Ave, Tulsa, OK, 74136-3347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053763334
Provider Name
Charles Blagovich
Credential
Provider Entity Type
Individual
Gender
Male
Address
6600 S Yale Ave, Tulsa, OK, 74136-3347
Phone Number
740-505-7569
Fax Number
Provider Enumeration Date
07/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6600 S Yale Ave
City
Tulsa
State
Oklahoma
Zip
74136-3347
Phone Number
740-505-7569
Fax Number
person
Provider Business Mailing Address Details
Address
6600 S Yale Ave
City
Tulsa
State
Oklahoma
Zip
74136-3347
Phone Number
740-505-7569
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
121198 (Oklahoma)
Definition
Definition to come...
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