Individual
DR. ROBERT B BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 ELLIS ST, SUITE 201, BOZEMAN, MT 59715-8812
(406) 587-0122
(406) 587-5548
Mailing address
1450 ELLIS ST, SUITE 201, BOZEMAN, MT 59715-8812
(406) 587-0122
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD192627
OR
207XS0106X
Orthopaedic Hand Surgery Physician
8585
MT
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
8585
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14263
—
MT
Enumeration date
08/03/2005
Last updated
08/14/2025
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