Individual provider · NPI-1

Dr. Robert B Blake, M.D.

Surgery, Surgery of the Hand · Bozeman, MT

NPI number1285635904
StatusActive
Last updated in NPPESAug 14, 2025

Details

NPI
1285635904
Entity type
Individual (NPI-1)
Name
Dr. Robert B Blake
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 3, 2005
Certification date
Aug 14, 2025
Last updated
Aug 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0105X Surgery, Surgery of the Hand8585MTYes
207X00000X Orthopaedic SurgeryMD192627OR
207XS0106X Orthopaedic Surgery, Hand Surgery8585MT

Practice location

1450 Ellis St
Suite 201
Bozeman, MT 59715-8812

Phone 406-587-0122 · Fax 406-587-5548

Mailing address

1450 Ellis St
Suite 201
Bozeman, MT 59715-8812

Phone 406-587-0122

Other practice locations

930 Sw Abbey St Ste B
Newport, OR 97365-4820

Phone 541-574-7235

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