Search › Idaho › 103TC0700X
Dudley Blake, PH.D
NPI 1578676714 · on the registry since 2006 · sole proprietor
Practice
- Address
- Boise Va Medical Center
500 West Fort Street
Boise, ID 83701 - Phone
- (208) 422-1125
- Fax
- (208) 422-1164
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Idaho