JOHN S BLAKE

ROOSEVELT, UT
NPI1508826587
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: UT  49109901205)
Enumeration Date2006-03-24
Last Update Date2017-05-02
Business Address
Dr. JOHN S BLAKE MD
210 W 300 N 7-3
ROOSEVELT, UT 84066
Phone number: 435-722-3971
Mailing Address
Dr. JOHN S BLAKE MD
210 W 300 N 7-3
ROOSEVELT, UT 84066
Phone number: 435-722-3971
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