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Individual

DR. BLAKE ROBERT OBROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1485 N TURQUOISE DR STE 200, FLAGSTAFF, AZ 86001-2000
(928) 774-7757
(928) 774-7767
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(928) 774-7757
(928) 774-7767

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
008371
AZ
207X00000X
Orthopaedic Surgery Physician
R3726
TX

Other

Enumeration date
06/27/2011
Last updated
11/29/2022
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