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Dr. JACOB L BLAKE M.D.

Individual Provider (NPI-1) Active

Anesthesiology, Pain Medicine

Provider Information

NPI Number
1154486769
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
5590 KIETZKE LN, RENO, NV, 895113019
Phone
(775) 323-2080
Fax
(775) 683-9404

Specialties & Taxonomies

Anesthesiology License: NV #14407
Anesthesiology License: CA #A95206
Anesthesiology License: WA #MD60071790
Anesthesiology, Pain Medicine License: CA #A95206
Anesthesiology, Pain Medicine License: WA #MD60071790
Anesthesiology, Pain Medicine Primary License: NV #14407

All Addresses

LOCATION

5590 KIETZKE LN

RENO, NV, 895113019

(775) 323-2080

MAILING

5590 KIETZKE LN

RENO, NV, 895113019

(775) 323-2080