IndividualActive
Blake Anderson, MD PHD
NPI 1962499574 · Otolaryngology Physician · Tulsa, OK
Provider details
- NPI number
- 1962499574
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD PHD
- Sex
- Male
- Sole proprietor
- No
- License
- L6260 (TX)
Practice location
9001 S 101st East Ave Ste 280
Tulsa, OK 74133-5711
Phone: (918) 459-8824
Mailing address
1145 S Utica Ave Ste 110
Tulsa, OK 74104-4013
Registry dates
- Enumerated
- 2005-09-29
- Last updated
- 2021-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.