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1790863454
BLAKE W. MONTANA
SACRAMENTO, CA
NPI
1790863454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA G81929)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
BLAKE W. MONTANA MD
2025 MORSE AVE
SACRAMENTO, CA 95825-2115
Phone number: 916-973-5000
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Mailing Address
BLAKE W. MONTANA MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3429
Phone number: 510-625-6262
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