Individual
DR. BLAKE ELDEN WAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6901 HELEN OF TROY DRIVE, BLDG C, EL PASO, TX 79911-3043
(915) 581-8090
Mailing address
6024 UPPER VALLEY RD, EL PASO, TX 79932-4305
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12342
TX
Other
Enumeration date
08/31/2006
Last updated
08/15/2012
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