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Individual

DR. BLAKE ST. LOUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2547
(434) 982-1893
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102209218
VA
207L00000X
Anesthesiology Physician
12877
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
0102209218
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0102209218
VA

Other

Enumeration date
06/04/2021
Last updated
01/15/2026
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