Individual
DR. BLAKE PAUL SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(970) 946-4674
Mailing address
4529 N 75TH PL, SCOTTSDALE, AZ 85251-1530
(970) 946-4674
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
49961
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2012
Last updated
05/05/2017
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