PAUL ANTHONY BLAKE

MESA, AZ
NPI1659364016
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: AZ  14159)
Enumeration Date2005-08-31
Last Update Date2010-03-02
Business Address
-- PAUL ANTHONY BLAKE MD
123 N CENTENNIAL WAY STE 252
MESA, AZ 85201-6693
Phone number: 480-834-8802
Mailing Address
-- PAUL ANTHONY BLAKE MD
123 N CENTENNIAL WAY STE 252
MESA, AZ 85201-6693
Phone number: 480-834-8802
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