SearchMississippiSurgical Critical Care Physician

Roger Blake, M.D

NPI 1023049335 · on the registry since 2006 · sole proprietor

Practice

Address
907 E Sunflower Rd
101
Cleveland, MS 38732
Phone
(662) 846-8880
Fax
(662) 846-8886
Organisation at this address
Bolivar Ent, Inc
Michael D Braswell
Delta Wound Care Pllc
Bolivar Urology Clinic, Pa
Nelson Medical Consulting, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 999 N Curtis Rd Ste 415, Boise, ID

Registry record

Primary taxonomy
Surgical Critical Care Physician
2086S0102X
Also registered as
Specialist
Licence states on file
MS, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi