Blake B Jensen, D.O.

NPI #1316060890 in Twin Falls, Idaho

Provider Information

NPI Number: 1316060890
Entity Type: Individual
Name: Blake B Jensen, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: D.O.
Enumeration Date: Apr 9, 2007
Last Updated: Aug 14, 2007

Practice Location

Address: 1646 ELDRIDGE AVE
City: Twin Falls
State: Idaho
ZIP Code: 83301-7817
Phone: (208) 734-7362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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