Individual
BLAKE ANDREW DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8000 E MAPLEWOOD AVE STE 200, GREENWOOD VILLAGE, CO 80111-4727
(303) 438-3999
(720) 439-9500
Mailing address
PO BOX 840862, DALLAS, TX 75284-0862
(303) 377-7638
(303) 780-0787
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
482550
OH
163W00000X
Registered Nurse
838667
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
C-APN.0004574-C-CRNA
CO
Other
Enumeration date
11/03/2021
Last updated
09/21/2022
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