Individual
DR. HELEN MAUREEN BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14825 NORTH OUTER 40 RD STE 360, CHESTERFIELD, MO 63017-2108
(314) 336-2570
(314) 336-2571
Mailing address
14825 NORTH OUTER 40 RD STE 360, CHESTERFIELD, MO 63017-2108
(314) 336-2570
(314) 336-2571
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2007016653
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
260816
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
2012021214
MO
390200000X
Student in an Organized Health Care Education/Training Program
2007016653
MO
Other
Enumeration date
07/09/2007
Last updated
11/01/2018
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