Individual
ROBERT ANTHONY BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MSC 09-5030, ALBUQUERQUE, NM 87131
(505) 272-2269
(505) 272-5821
Mailing address
1 UNIVERSITY OF NEW MEXICO, MSC 10-5530, ALBUQUERQUE, NM 87131
(505) 272-2269
(505) 272-5821
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
RS2012-0471
NM
2085R0202X
Diagnostic Radiology Physician
Primary
MD2017-1030
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2012
Last updated
03/21/2018
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