Search › Arkansas › 111N00000X

Landon Blake

NPI 1467380030 · on the registry since 2026

Practice

Address
4106 Sw Shadowrock Pl # 2
Bentonville, AR 72712
Phone
(580) 548-3488

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-12

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 Arkansas