Randall Charles Blake, M.D.

NPI #1447226055 in Honolulu, Hawaii

Provider Information

NPI Number: 1447226055
Entity Type: Individual
Name: Randall Charles Blake, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Feb 23, 2006
Last Updated: Jun 28, 2012

Practice Location

Address: 1329 LUSITANA ST
Address 2: SUITE 602
City: Honolulu
State: Hawaii
ZIP Code: 96813-2429
Phone: (808) 522-5055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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