Search › Utah › 207ND0101X
John Blake, MD
NPI 1508826587 · on the registry since 2006 · sole proprietor
Practice
- Address
- 210 W 300 N 7-3
Roosevelt, UT 84066 - Phone
- (435) 722-3971
- Fax
- (435) 722-6104
- Organisation at this address
- Northeastern Utah Medical Group
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207ND0101X
207ND0101X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah