SearchAlabama390200000X

Robert Blaker

NPI 1659766533 · on the registry since 2015 · sole proprietor

Practice

Address
68 Hudson Dr
Boaz, AL 35956
Phone
(256) 558-6589

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-03-30

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 Alabama