Organization
ADVANCED GYNECOLOGY & PELVIC HEALTH SPECIALISTS, LLC
Active
Organization
ADVANCED GYNECOLOGY & PELVIC HEALTH SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BLAKE MD (OWNER)
(765) 623-6226
Entity
Organization
Contact information
Practice address
14540 PRAIRIE LAKES BLVD N STE 110, NOBLESVILLE, IN 46060-4370
(317) 982-5222
(317) 982-5223
Mailing address
14540 PRAIRIE LAKES BLVD N STE 110, NOBLESVILLE, IN 46060-4370
(317) 982-5222
(317) 982-5223
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
11/14/2024
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