PETER EDWARD BLAKE

PARMA, OH
NPI1992446249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: OH  34.017736)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-01
Last Update Date2025-08-06
Business Address
PETER EDWARD BLAKE DO
7007 POWERS BLVD
PARMA, OH 44129-5437
Phone number: 440-743-4020
Mailing Address
PETER EDWARD BLAKE DO
5705 W LONGRIDGE DR
SEVEN HILLS, OH 44131-1735
Phone number: 440-225-6295