Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL LEEROY BLAKE
ActiveMICHAEL LEEROY BLAKE is a Foot & Ankle Surgery healthcare provider located in GLENDALE, West Virginia. NPI 1922729094 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · GLENDALE, WV
Registration Details
- NPI Number
- 1922729094
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2022 (3.9373861392483 yrs)
- Last Updated
- Sep 7, 2022
Practice Information
- Address
-
27 BOULDER RDGLENDALE, WV, 26038Browse WV providers · Browse ZIP 26038
- Phone
- 3046501797
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
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.