JACOB BLAKE, MD LTD.

RENO, NV
NPI1154839637
Doing Business AsSIERRA PEAK PAIN MANAGEMENT
Entity TypeOrganization
Authorized ContactKENDALL QUINLAN
Credentialing
775-720-1573
Organization Subpart ?No
Primary Taxonomy207LP2900X Anesthesiology Pain Medicine
(Licence: NV  11407)
Enumeration Date2018-01-18
Last Update Date2018-06-16
Business Address
JACOB BLAKE, MD LTD.
5590 KIETZKE LANE
RENO, NV 89511
Phone number: 775-323-2080
Mailing Address
JACOB BLAKE, MD LTD.
5590 KIETZKE LN
RENO, NV 89511-3019
Phone number: 775-323-2080