Brian William Blake M.D.

NPI 1295078608 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1295078608
Gender Male
Enumeration Date 04/03/2013
Last Updated 04/03/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
155 N FRESNO ST
FRESNO CA, 93701-2302, US
Phone (559) 499-6440
Fax
Business Location
155 N FRESNO ST
FRESNO CA, 93701-2302, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Brian William Blake M.D. NPI is 1295078608, taxonomy code is 390200000X Brian William Blake M.D. physically located at 155 N Fresno St, Fresno CA, 93701-2302. NPI Number Brian William Blake M.D. has the Individual type.

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1295078608 NPI number is provided on an as is basis without warranty of any kind. 1295078608 is maintained by the National Plan & Provider Enumeration System. The contents of Brian William Blake M.D. are for informational purposes only.