SearchArkansas207X00000X

Jonathan Blake, D.O

NPI 1598739708 · on the registry since 2006

Practice

Address
1401 Hwy 65 North Suite 210
Harrison, AR 72601
Phone
(870) 414-5600
Fax
(870) 414-5601
Clinicians at this address
8

Registry record

Primary taxonomy
207X00000X
207X00000X
Also registered as
207X00000X
207X00000X
Licence states on file
IL, SD, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-11

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