Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GERALD FRANK BUNTING-BLAKE, M.D.
Active Sole ProprietorDR. GERALD FRANK BUNTING-BLAKE, M.D. is a Psychiatry healthcare provider located in DAVIS MONTHAN A F B, Arizona. NPI 1417934662 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · DAVIS MONTHAN A F B, AZ
Registration Details
- NPI Number
- 1417934662
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2005 (20.615037663448 yrs)
- Last Updated
- Nov 15, 2007
- Licenses
-
31378 (AZ)13051 (NE)31378 (AZ)13051 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5380 E KACHINA STDAVIS MONTHAN A F B, AZ, 857074923Browse AZ providers · Browse ZIP 85707
- Phone
- 5202284926
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatry
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.