Dr. John S Blake, MD
Dr. John S Blake, MD is a Dermatology in Roosevelt, Utah. Graduated from University of Utah School of Medicine in 1988, 38 years ago. Practices with Northeastern Utah Medical Group, a 51-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 38
- Trained at
- University of Utah School of Medicine
- Licensed in
- UT
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
210 W 300 N 7-3Roosevelt, UT 84066
Phone: (435) 722-3971
Fax: (435) 722-6104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence 49109901205 (UT) |
|---|
Record details
| NPI number | 1508826587 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 24, 2006 |
| Last updated in NPPES | May 2, 2017 |
| Mailing address | 210 W 300 N 7-3, Roosevelt, UT 84066 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduated | 1988 (38 years in practice) |
| Group practice | Northeastern Utah Medical Group — 51 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |