BLAKE TANEFF

FORT CAVAZOS, TX
NPI1992268023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: VA  0101270189)
Enumeration Date2019-04-06
Last Update Date2024-07-15
Business Address
BLAKE TANEFF
590 MEDICAL CENTER ROAD
FORT CAVAZOS, TX 76544-5060
Phone number: 254-553-0627
Mailing Address
BLAKE TANEFF
8901 WISONSIN AVENUE
BETHESDA, MD 20889-0001
Phone number:
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