Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL S BLAKE, M.D.
ActiveFamily Medicine · PROVO, UT
Registration Details
- NPI Number
- 1518194687
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2009 (16.881097420608 yrs)
- Last Updated
- Sep 8, 2021
- Licenses
-
MD60243907 (WA)8631872-1205 (UT)
Practice Information
- Address
-
1134 N 500 W STE 102PROVO, UT, 846045569Browse UT providers · Browse ZIP 84604
- Phone
- 8013571770
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN W BLOINK | MD | 1891787891 |
| ANDREW D PETERSEN | DO | 1124011572 |
| DR. DENNIS C HESS | M.D. | 1326035080 |
| DR. RICHARD J HOLMES | M.D. | 1083601942 |
| DR. JAMES A WOODMANSEE III | M.D. | 1093703530 |
| WESLEY D WYLIE | M.D. | 1548215197 |
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.