Organization
GERALD BLAKE, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD BLAKE MD (MD)
(909) 882-3962
Entity
Organization
Contact information
Practice address
1738 NORTH D STREET, SAN BERNARDINO, CA 92405
(909) 882-3962
Mailing address
1738 NORTH D STREET, SAN BERNARDINO, CA 92405
(909) 882-3962
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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