Individual
DR. DANIEL R BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7250 PEAK DR STE 100, LAS VEGAS, NV 89128-9028
(702) 386-4700
(702) 386-4701
Mailing address
3157 N RAINBOW BLVD # 518, LAS VEGAS, NV 89108-4578
(702) 386-4700
(702) 386-4701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1224
NV
207L00000X
Anesthesiology Physician
2948
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506317
—
NV
Enumeration date
09/21/2005
Last updated
10/04/2024
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