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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACOB L BLAKE, M.D.

Active

DR. JACOB L BLAKE, M.D. is a Pain Medicine (Anesthesiology) healthcare provider located in RENO, Nevada. NPI 1154486769 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (Anesthesiology) · RENO, NV

Registration Details

NPI Number
1154486769
Provider Type
Individual
Gender
Male
NPI Issued
Dec 26, 2006 (19.615742811689 yrs)
Last Updated
Jan 29, 2019
Licenses
14407 (NV)
A95206 (CA)
MD60071790 (WA)
A95206 (CA)
MD60071790 (WA)

Practice Information

Address
5590 KIETZKE LN
RENO, NV, 895113019
Browse NV providers · Browse ZIP 89511
Phone
7753232080
Fax
7756839404
Primary Specialty
Pain Medicine (Anesthesiology)
207LP2900X
Additional Specialty
Anesthesiology
Additional Specialty
Anesthesiology

Other Pain Medicine (Anesthesiology) Providers in RENO, NV

Name Credential NPI
BRIAN WILLIAM DUBOIS MD 1205900073
HENRY CARLTON HICKS MD 1285700708
DR. SCOTT MCDANIEL M.D. 1760792352
ANWAR MACK MD 1184010597
ROSS M JENSON M.D. 1093190415
DEREK DJAVAHERIAN M.D. 1831552447
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.