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

JAREN H. BLAKE, MD

Active

Family Medicine · PROVO, UT

Registration Details

NPI Number
1841217858
Provider Type
Individual
Gender
Male
NPI Issued
Jul 16, 2006 (19.798905934322 yrs)
Last Updated
Aug 24, 2022
Licenses
M-9562 (ID)
8115390-1205 (UT)
14222 (NV)

Practice Information

Address
777 N 500 W STE 101A
PROVO, UT, 846011594
Browse UT providers · Browse ZIP 84601
Phone
3853757989
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
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.