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Individual

DR. ROBERT A.L. BLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3007 MEMORIAL PKWY SW STE C, HUNTSVILLE, AL 35801-5394
(256) 429-4500
(256) 517-8550
Mailing address
PO BOX 2409, HUNTSVILLE, AL 35804-2409
(256) 429-4500
(256) 517-8550

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
D47798
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
255200100
MD
Enumeration date
09/14/2006
Last updated
03/31/2026
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