Individual
JOSEPH BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 SOUTHERN BLVD, DAYTON, OH 45429-1221
(937) 395-8627
Mailing address
3451 NEWMARK DR, MIAMISBURG, OH 45342-5426
(937) 297-6306
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.097054
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052313
—
OH
Enumeration date
01/04/2007
Last updated
04/14/2026
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