Jaren H. Blake, MD
Jaren H. Blake, MD is a Family Medicine Physician in Provo, Utah. Licensed in Idaho, Nevada and Utah. Registered with an NPI since 2006.
- Licensed in
- ID, NV, UT
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
777 N 500 W Ste 101AProvo, UT 84601-1594
Phone: (385) 375-7989
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 8115390-1205 (UT) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence M-9562 (ID) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 14222 (NV) |
Record details
| NPI number | 1841217858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 16, 2006 |
| Last updated in NPPES | August 24, 2022 |
| Certification date | August 4, 2022 |
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