Dr JOHN STEELE BLAKE is a male medical professional, specializing in Dermatology. He graduated in 1988 from University Of Utah School Of Medicine.
NORTHEASTERN UTAH MEDICAL GROUP
210 W
SUITE 3
ROOSEVELT
UT
840662336
Tel: 4357224691
| Npi | 1508826587 |
| Pac Id | 3173651395 |
| Professional Enrollment Id | I20100510000420 |
| Last Name | BLAKE |
| First Name | JOHN |
| Middle Name | STEELE |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialty 1 | |
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| Organization Legal Name | NORTHEASTERN UTAH MEDICAL GROUP |
| Group Practice Pac Id | 2961496609 |
| Number Of Group Practice Members | 33 |
| Line 1 Street Address | 210 W |
| Line 2 Street Address | SUITE 3 |
| Marker Of Address Line 2 Suppression | |
| City | ROOSEVELT |
| State | UT |
| Zip Code | 840662336 |
| Phone Number | 4357224691 |
| Hospital Affiliation Ccn 1 | 460019 |
| Hospital Affiliation Lbn 1 | UINTAH BASIN MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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