Dr PAUL BLAKE III MD is a male medical professional, specializing in Internal Medicine. He graduated in 1999 from West Virginia University School Of Medicine.
RACINE OBSERVATION MEDICAL GROUP, PLLC
2900 1ST AVE
HUNTINGTON
WV
257021241
Tel: 3045261234
| Npi | 1366470148 |
| Pac Id | 1153343777 |
| Professional Enrollment Id | I20051227000038 |
| Last Name | BLAKE |
| First Name | PAUL |
| Middle Name | |
| Suffix | III |
| Gender | M |
| Credential | MD |
| Medical School Name | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | RACINE OBSERVATION MEDICAL GROUP, PLLC |
| Group Practice Pac Id | 1254601578 |
| Number Of Group Practice Members | 18 |
| Line 1 Street Address | 2900 1ST AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 257021241 |
| Phone Number | 3045261234 |
| Hospital Affiliation Ccn 1 | 510007 |
| Hospital Affiliation Lbn 1 | ST MARY'S MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 361320 |
| Hospital Affiliation Lbn 2 | HOLZER MEDICAL CENTER JACKSON |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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