JON KEVIN BLAKE MD

GAS CITY, IN
NPI1215559331
Entity TypeOrganization
Authorized ContactJON BLAKE
Authorized Official/Physician
765-674-7889
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2020-05-12
Last Update Date2020-05-12
Business Address
JON KEVIN BLAKE MD
925 E MAIN ST
GAS CITY, IN 46933-1550
Phone number: 765-674-7889
Mailing Address
JON KEVIN BLAKE MD
PO BOX 1889
MUNCIE, IN 47308-1889
Phone number: 765-284-0493