MARJORIE C BLAKE

BOISE, ID
NPI1730127747
Former NameMARJORIE C OTTO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: ID  M-9609)
Additional Taxonomies207L00000X Anesthesiology
(Licence: WI  37679)
Enumeration Date2006-06-02
Last Update Date2025-08-20
Business Address
MARJORIE C BLAKE MD
2537 W STATE ST STE 200
BOISE, ID 83702-2200
Phone number: 208-336-0895
Mailing Address
MARJORIE C BLAKE MD
2537 W STATE ST STE 200
BOISE, ID 83702-2200
Phone number: 208-336-0895