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

DR. JONATHAN E. BLAKE, D.O.

Active

DR. JONATHAN E. BLAKE, D.O. is a Orthopaedic Surgery healthcare provider located in HARRISON, Arkansas. NPI 1598739708 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · HARRISON, AR

Registration Details

NPI Number
1598739708
Provider Type
Individual
Gender
Male
NPI Issued
Feb 14, 2006 (20.469079010862 yrs)
Last Updated
Aug 11, 2023
Licenses
133417 (IL)
7833 (SD)
T3745 (TX)

Practice Information

Address
1401 HWY 65 NORTH SUITE 210
HARRISON, AR, 72601
Browse AR providers · Browse ZIP 72601
Phone
8704145600
Fax
8704145601
Primary Specialty
Orthopaedic Surgery
207X00000X
Additional Specialty
Orthopaedic Surgery
Additional Specialty
Orthopaedic Surgery

Other Orthopaedic Surgery Providers in HARRISON, AR

Name Credential NPI
TARIK SIDANI DO 1558306902
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.