NPI 1154839637

Jacob Blake, MD LTD.

Organisation Pain Medicine (Anesthesiology) Physician Reno, NV

Practice location

Address: 5590 Kietzke Lane, Reno, NV 89511
Phone: (775) 323-2080
Fax: (775) 323-8216
Mailing address: 5590 Kietzke Ln, Reno, NV 89511-3019

Authorised official

Name: Kendall Quinlan
Title: Credentialing
Phone: (775) 720-1573

Registered specialties

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 11407 (NV)

Other Anesthesiology providers in Nevada →

Registry record

NPI: 1154839637
Entity type: Organization
NPI issued: 18 Jan 2018
Record last updated: 16 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.