Individual
BLAKE W. ARNOLD
Active
Individual
BLAKE W. ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
363889-1205
UT
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
363889-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
363889-1205
UT
2085R0204X
Vascular & Interventional Radiology Physician
363889-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107011790103
IHC
UT
01
—
36388912002001
BLUE CROSS
UT
01
—
741295
DMBA
UT
05
—
870487570004
—
UT
01
—
870487570BWA
EMIA
UT
Enumeration date
07/20/2006
Last updated
01/20/2014
Update your record
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