Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN S BLAKE, MD
Active Sole ProprietorDR. JOHN S BLAKE, MD is a Obesity Medicine healthcare provider located in ROOSEVELT, Utah. NPI 1508826587 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · ROOSEVELT, UT
Registration Details
- NPI Number
- 1508826587
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2006 (20.417891337755 yrs)
- Last Updated
- May 2, 2017
- License
-
49109901205 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
210 W 300 N 7-3ROOSEVELT, UT, 84066Browse UT providers · Browse ZIP 84066
- Phone
- 4357223971
- Fax
- 4357226104
- Primary Specialty
-
Obesity Medicine
207ND0101X
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.