DR. Carson Curtis Blake, M.D.

NPI #1932194784 in Ennis, Montana

Provider Information

NPI Number: 1932194784
Entity Type: Individual
Name: DR. Carson Curtis Blake, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Sep 19, 2005
Last Updated: May 23, 2013

Practice Location

Address: 305 N. MAIN
City: Ennis
State: Montana
ZIP Code: 59729
Phone: (406) 682-6862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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