Blake Surgical Association Pllc

NPI #1154521466 in Cleveland, Mississippi

Provider Information

NPI Number
1154521466
Entity Type
Organization
Organization Name
Blake Surgical Association Pllc
Primary Specialty
Surgery - Surgical Critical Care
Enumeration Date
Jul 24, 2007
Last Updated
Aug 30, 2020

Practice Location

Address
907 E SUNFLOWER RD #101
ZIP Code
38732-2833
Phone
(662) 846-8880

Authorized Official

Name
DR. ROGER BLAKE, M.D.
Title
OWNER/PHYSICIAN
Phone
(662) 846-8880

Specialties & Taxonomy Codes

Specialty
Surgery
Surgery - Surgical Critical CareSurgical Critical Care

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