Individual
SAMUEL S BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1134 N 500 W STE 102, PROVO, UT 84604-5569
(801) 357-1770
Mailing address
1134 N 500 W STE 102, PROVO, UT 84604-5569
(801) 357-1770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8631872-1205
UT
207Q00000X
Family Medicine Physician
MD60243907
WA
Other
Enumeration date
06/16/2009
Last updated
09/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us