DR. John S Blake, MD

NPI #1508826587 in Roosevelt, Utah

Provider Information

NPI Number
1508826587
Entity Type
Individual
Name
DR. John S Blake, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dermatology - MOHS-Micrographic Surgery
Credential
MD
Enumeration Date
Mar 24, 2006
Last Updated
May 2, 2017

Practice Location

Address
210 W 300 N 7-3
State
Utah
ZIP Code
84066
Phone
(435) 722-3971

Specialties & Taxonomy Codes

Specialty
Dermatology - MOHS-Micrographic SurgeryMOHS-Micrographic Surgery

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