Mr. Paul A Blake IV, DOASOF5/31/2020
Mr. Paul A Blake IV, DOASOF5/31/2020 is an Aerospace Medicine Physician in Little Rock AFB, Arkansas. Licensed in Nebraska. Registered with an NPI since 2020.
- Licensed in
- NE
- In the registry since
- 2020
Practice location Address checks out
1090 Arnold DrLittle Rock AFB, AR 72099-4933
Phone: (501) 987-7319
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Specialties & licences
| Aerospace Medicine Physician (primary) | Taxonomy 2083A0100X · Licence 2470 (NE) |
|---|
Record details
| NPI number | 1639799158 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DOASOF5/31/2020 |
| Sole proprietor | No |
| NPI enumerated | April 24, 2020 |
| Last updated in NPPES | October 1, 2021 |
| Certification date | October 1, 2021 |
Other providers in Little Rock AFB
-
Dr. Thomas Richard Degraff III, DO
101 Cmsgt Williams Dr, Little Rock AFB, AR 72099-0001 · (501) 987-6951