BLAKE ALLEN LITTLE M.D. L.L.C. NPI 1659480713

NPI Information

BLAKE ALLEN LITTLE, M.D., L.L.C. is a specialist in Tulsa, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BLAKE ALLEN LITTLE, M.D., L.L.C. NPI is 1659480713. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Blake Allen Little, M.d..

The provider's business location address is:

5612 E 117TH PL
TULSA, OK
ZIP 74137
Phone: (918) 510-0129
Fax: (918) 296-5172

The provider's authorized official is Melissa K Qualls .
The authorized official title is Mgmr and has the following contact phone number (918) 510-0129.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 5/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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