MR. John Vayden Blake, PA
NPI #1013994953 in Summersville, West Virginia
Provider Information
- NPI Number
- 1013994953
- Entity Type
- Individual
- Name
- MR. John Vayden Blake, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Dec 30, 2005
- Last Updated
- Jan 3, 2025
Practice Location
- Address
- 315 FAIRVIEW HEIGHTS RD
- City
- Summersville
- State
- West Virginia
- ZIP Code
- 26651-1086
- Phone
- (304) 469-2905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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