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

PAUL ANTHONY BLAKE, MD

Active Sole Proprietor

Physical Medicine & Rehabilitation · MESA, AZ

Registration Details

NPI Number
1659364016
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2005 (20.681379017931 yrs)
Last Updated
Mar 2, 2010
License
14159 (AZ)
Sole Proprietor
Yes

Practice Information

Address
123 N CENTENNIAL WAY
STE 252
MESA, AZ, 852016693
Browse AZ providers · Browse ZIP 85201
Phone
4808348802
Fax
4808348448
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in MESA, AZ

Name Credential NPI
DR. TUTANKHAMEN A PAPPOE M.D. 1205818614
MR. BLAIR J PACKARD II PT 1295772176
DR. THOMAS J CURTIS PT,DSC,OCS 1609817725
RANDALL CASE PT, DPT 1790727683
MR. JAMES EDWARD KILGORE II PTA 1790793339
BRIAN LAMAR BRICE MD 1346349065
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.