SearchUtah207Q00000X

Jaren Blake, MD

NPI 1841217858 · on the registry since 2006

Practice

Address
777 N 500 W Ste 101a
Provo, UT 84601
Phone
(385) 375-7989
Organisation at this address
Summit Medical Care
Valley Foot & Ankle
Kelly A Gomez Dpm Pc
Grandpa'S Dental Inc.
Lynn L Bateman Md Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
207Q00000X
Licence states on file
ID, UT, NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-24

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 Utah