Organization
DAVID M. BLAKE MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M. BLAKE M.D. (PRESIDENT NEUROLOGIST)
(859) 260-1273
Entity
Organization
Contact information
Practice address
1451 HARRODSBURG RD STE D302, LEXINGTON, KY 40504-3772
(859) 260-1273
(859) 260-7719
Mailing address
1451 HARRODSBURG RD STE D302, LEXINGTON, KY 40504-3772
(859) 260-1273
(859) 260-7719
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
24357
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649475492
GROUP NPI
KY
Enumeration date
06/20/2007
Last updated
02/02/2009
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