MR. Paul A Blake IV, DO (AS OF 5/31/2020)
NPI #1639799158 in Little Rock Afb, Arkansas
Provider Information
- NPI Number
- 1639799158
- Entity Type
- Individual
- Name
- MR. Paul A Blake IV, DO (AS OF 5/31/2020)
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Preventive Medicine - Aerospace Medicine
- Credential
- DO (AS OF 5/31/2020)
- Enumeration Date
- Apr 24, 2020
- Last Updated
- Oct 1, 2021
Practice Location
- Address
- 1090 ARNOLD DR
- City
- Little Rock Afb
- State
- Arkansas
- ZIP Code
- 72099-4933
- Phone
- (501) 987-7319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preventive Medicine - Aerospace Medicine — Aerospace Medicine |
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