Blaine Matthew Fife is a student in an organized health care education training program in Tulsa, OK. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Blaine Matthew Fife NPI is 1699559633. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
112 S 64TH WEST AVE
TULSA, OK
ZIP 74127-720
Phone: (918) 892-5949
The enumeration date for this NPI number is 8/21/2023 and was last updated on 8/21/2023.