Individual provider · Type 1 NPI

Carson Blake Taber

Student in an Organized Health Care Education/Training Program · Edmond, OK

NPI number 1336741735 Active

Practice location

2735 Ashe Creek Dr
Edmond, OK 73034-5948

Call (405) 513-3079 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1336741735

Carson Blake Taber's National Provider Identifier is 1336741735, issued on Nov 10, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Edmond, OK. The record was last updated on Nov 10, 2020.