Individual
DR. BLAKE CHRISTIAN CORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C
Contact information
Practice address
615 S BALLAS RD # 2015, SAINT LOUIS, MO 63122-5314
(314) 251-1710
(314) 251-4842
Mailing address
2206 LUCAS AVE UNIT 206, SAINT LOUIS, MO 63103-1546
(217) 652-1737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020027124
MO
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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