Michael G Blake and Associates Inc.
NPI #1912142241 in Gallup, New Mexico
Provider Information
- NPI Number
- 1912142241
- Entity Type
- Organization
- Organization Name
- Michael G Blake and Associates Inc.
- Primary Specialty
- Optometrist
- Enumeration Date
- Dec 16, 2008
- Last Updated
- Dec 16, 2008
Practice Location
- Address
- 124 W COAL AVE
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-6206
- Phone
- (505) 722-2020
Authorized Official
- Name
- DR. MICHAEL G BLAKE, O.D.
- Title
- OPTOMETRIST
- Phone
- (505) 722-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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