Individual
DR. BLAKE H CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39 N WASHINGTON ST, SONORA, CA 95370-4758
(209) 532-1326
Mailing address
39 N WASHINGTON ST, SONORA, CA 95370-4758
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A131862
CA
Other
Enumeration date
05/23/2011
Last updated
08/22/2014
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