Individual
RICHARD WATSON BLAKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1358
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1358
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4118
NV
207X00000X
Orthopaedic Surgery Physician
G031965
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-16555
—
NV
01
—
XPY 011050
MEDI-CAL PIN
CA
Enumeration date
11/08/2005
Last updated
06/10/2016
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