# C CURTIS BLAKE M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609050566
- **Authorized official:** C CURTIS BLAKE (OWNER)
- **Authorized official phone:** (406) 683-4252

## Contact information

- **Practice address:** 30 MT HIGHWAY 91 S STE 206, DILLON, MT 59725-3535
- **Practice address phone:** (406) 683-4252
- **Mailing address:** 30 MT HIGHWAY 91 S STE 206, DILLON, MT 59725-3535
- **Mailing address phone:** (406) 683-4252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 12/27/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0042109 | — | MT |