Individual
DR. BLAKE NORTON GEREN
Active
Individual
DR. BLAKE NORTON GEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E5157
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164798001
—
AR
05
—
200115630A
—
OK
01
—
CQ2484
RAILROAD MEDICARE
—
01
—
P00419389
RAILROAD MEDICARE
AR
Enumeration date
06/25/2006
Last updated
12/17/2019
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