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CMS Registered

Dr. John Blake, MD

ROOSEVELT, Utah

NPI 1508826587

Reveal Contact Details

Practice location

Primary practice site

ROOSEVELT, UT

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Taxonomy & specialties

207ND0101XPrimary

Dermatology, MOHS-Micrographic Surgery

State licenses

  • 49109901205UT

License numbers are as self-reported to CMS. Verify with the state medical board before contracting.