IndividualActive
Blayne Bordwine
NPI 1023898616 · Pediatric Hospice and Palliative Medicine Physician · Oklahoma City, OK
Provider details
- NPI number
- 1023898616
- Entity type
- Individual
- Primary specialty
- Pediatric Hospice and Palliative Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 215424 (OK)
Practice location
1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone: (405) 271-4700
Mailing address
12721 Nw 137th St
Piedmont, OK 73078-8149
Registry dates
- Enumerated
- 2023-10-02
- Last updated
- 2024-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.