Dr. Charles Blake, M.D.
Physical Medicine & Rehabilitation in Tucson, AZ. Individual provider (NPI-1).
NPI number1851362792
StatusActive
Last updated in NPPESNov 13, 2019
Details
- NPI
- 1851362792
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Blake
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2006
- Last updated
- Nov 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 19358 | AZ | Yes |
Practice location
6565 E Carondelet Dr Ste 155Tucson, AZ 85710
Phone 520-849-8900 · Fax 520-849-7137
Mailing address
6565 E Carondelet Dr Ste 155Tucson, AZ 85710-3587
Phone 520-849-8900 · Fax 520-849-7137
Other practice locations
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