Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE EVAN PACK, DO
ActiveFamily Medicine · BECKLEY, WV
Registration Details
- NPI Number
- 1588409478
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2024 (1.8165987186308 yrs)
- Last Updated
- Feb 7, 2025
- License
-
ED1327 (WV)
Practice Information
- Address
-
252 RURAL ACRES DRBECKLEY, WV, 258013503Browse WV providers · Browse ZIP 25801
- Phone
- 3042528555
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BECKLEY, WV
| Name | Credential | NPI |
|---|---|---|
| RHONDA M GUY | DO | 1457356545 |
| MISS JENNIFER LYNN BROWN | MD | 1205823465 |
| DR. MICHAEL SHAWN JOHNSON | DO | 1902895584 |
| RICKEY LEE BRADLEY | D.O. | 1700877735 |
| RICHARD C. WISMAN | M.D. | 1265475826 |
| JACOB CAMERON MCNEEL | D.O. | 1003839663 |
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.