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Organization
JACOB BLAKE, MD LTD.
Active
Organization
JACOB BLAKE, MD LTD.
Active
Other names
Sierra Peak Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENDALL QUINLAN (CREDENTIALING)
(775) 720-1573
Entity
Organization
Contact information
Practice address
5590 KIETZKE LANE, RENO, NV 89511
(775) 323-2080
(775) 323-8216
Mailing address
5590 KIETZKE LN, RENO, NV 89511-3019
(775) 323-2080
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
11407
NV
Other
Enumeration date
01/18/2018
Last updated
06/16/2018
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