Individual
BOB E. BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 E VALLEY PKWY, ESCONDIDO, CA 92025-3048
(760) 739-3300
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G31964
CA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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