Individual
DR. BLAKE CIRKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0004
(253) 968-2310
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(815) 370-6119
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
0101266976
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2017
Last updated
07/15/2023
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