DR. JOHN BLAKE, MD
Dermatology - MOHS-Micrographic Surgery
Active
Individual
NPI: 1508826587
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology - MOHS-Micrographic Surgery | 207ND0101X | Yes | 49109901205 (UT) |
Frequently Asked Questions
NPI 1508826587 is the National Provider Identifier for DR. JOHN BLAKE, MD, a Dermatology - MOHS-Micrographic Surgery provider located in Roosevelt, UT. This NPI was enumerated on March 24, 2006.
DR. JOHN BLAKE, MD practices at 210 W 300 N 7-3, Roosevelt, UT 84066.
Quick Facts
- NPI
- 1508826587
- Type
- Individual
- Enumerated
- Mar 24, 2006
- Last Updated
- May 2, 2017
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