Dr. Jeffrey M Blake, MD
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery in Noblesville, IN. Individual provider (NPI-1).
NPI number1477545127
StatusActive
Last updated in NPPESNov 14, 2024
Details
- NPI
- 1477545127
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey M Blake
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2005
- Certification date
- Nov 14, 2024
- Last updated
- Nov 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VF0040X | Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | 01040057A | IN | Yes |
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 01040057A | IN |
Practice location
14540 Prairie Lakes Blvd N Ste 110Noblesville, IN 46060-4370
Phone 317-982-5222 · Fax 317-982-5223
Mailing address
14540 Prairie Lakes Blvd N Ste 110Noblesville, IN 46060-4370
Phone 317-982-5222 · Fax 317-982-5223
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