DR. Benjamin Jay Blake, D.O.

NPI #1104112572 in Denison, Texas

Provider Information

NPI Number
1104112572
Entity Type
Individual
Name
DR. Benjamin Jay Blake, D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Emergency Medicine
Credential
D.O.
Enumeration Date
Jun 23, 2011
Last Updated
Jul 18, 2014

Practice Location

Address
5016 S US HIGHWAY 75
State
Texas
ZIP Code
75020-4584
Phone
(903) 416-2435

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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