Individual
DR. CHARLES BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 E CARONDELET DR STE 155, TUCSON, AZ 85710
(520) 849-8900
(520) 849-7137
Mailing address
6565 E CARONDELET DR STE 155, TUCSON, AZ 85710-3587
(520) 849-8900
(520) 849-7137
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
19358
AZ
Other
Enumeration date
01/30/2006
Last updated
11/13/2019
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