Search › Arkansas › 2083A0100X
Paul Blake, DO (AS OF 5/31/2020)
NPI 1639799158 · on the registry since 2020
Practice
- Address
- 1090 Arnold Dr
Little Rock Afb, AR 72099 - Phone
- (501) 987-7319
- Organisation at this address
- 19th Medgrp-Little Rock
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 103
Registry record
- Primary taxonomy
- 2083A0100X
2083A0100X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-01
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