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Contact Information

RANDY R BLUETHMAN, PA
3500 S WESTERN AVE
OKLAHOMA CITY, OK73109-2413
 Phone: 405-632-5565
 Fax: 405-632-3538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RANDY R BLUETHMAN · (Male)

NPI # 1306898986
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/16/2006
Last updated 07/29/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 404
Hospital affiliation(s)
  • O U MEDICAL CENTER - (Acute Care)
    1200 EVERETT DRIVE
    OKLAHOMA CITY, OK 73104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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