NPI 1023049335

Roger Alan Blake, MD

Practitioner Surgical Critical Care Physician Cleveland, MS

Practice location

Address: 907 E Sunflower Rd 101, Cleveland, MS 38732-2830
Phone: (662) 846-8880
Fax: (662) 846-8886

Registered specialties (2)

Surgical Critical Care Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0102X Licence MC-2670 (ID)

Other Surgery providers in Mississippi →

Specialist

Other Service Providers Taxonomy 174400000X Licence 16881 (MS)

Other Specialist providers in Mississippi →

Registry record

NPI: 1023049335
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2006
Record last updated: 4 Mar 2024

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.