Dr RANDALL C BLAKE MD is a male medical professional, specializing in Urology. He graduated in 1979 from Indiana University School Of Medicine.
ISLAND UROLOGY OAHU LLC
3-3295 KUHIO HWY 203
LIHUE
HI
967661035
Tel: 8082464707
Npi | 1447226055 |
Pac Id | 6901872720 |
Professional Enrollment Id | I20070919000999 |
Last Name | BLAKE |
First Name | RANDALL |
Middle Name | C |
Suffix | |
Gender | M |
Credential | MD |
Medical School Name | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1979 |
Primary Specialty | UROLOGY |
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Organization Legal Name | ISLAND UROLOGY OAHU LLC |
Group Practice Pac Id | 1951553551 |
Number Of Group Practice Members | 3 |
Line 1 Street Address | 3-3295 KUHIO HWY 203 |
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City | LIHUE |
State | HI |
Zip Code | 967661035 |
Phone Number | 8082464707 |
Hospital Affiliation Ccn 1 | 120005 |
Hospital Affiliation Lbn 1 | HILO MEDICAL CENTER |
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Professional Accepts Medicare Assignment | Y |
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