Carson Curtis Blake, M.D. Valid NPI

Individual provider · Family Medicine Physician · Ennis, MT

NPI

1932194784

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

7066 (MT)

Sex

Male

Sole proprietor

No

Enumerated

2005-09-19

Last updated

2013-05-23