Organization
JACOB BLAKE, MD LTD.
Active
Other names
Sierra Peak Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENDALL QUINLAN (CREDENTIALING)
(775) 720-1573
Entity
Organization
Contact information
Practice address
5590 KIETZKE LANE, RENO, NV 89511
(775) 323-2080
(775) 323-8216
Mailing address
5590 KIETZKE LN, RENO, NV 89511-3019
(775) 323-2080
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
11407
NV
Other
Enumeration date
01/18/2018
Last updated
06/16/2018
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