Dr BLAKE I EVERNDEN MD is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1985 from Boston University School Of Medicine.
CENTRAL COAST RADIOLOGY MEDICAL GROUP INC
262 POSADA LN
SUITE C
TEMPLETON
CA
934654057
Tel: 8054341491
| Npi | 1861488918 |
| Pac Id | 8729983135 |
| Professional Enrollment Id | I20031126000602 |
| Last Name | EVERNDEN |
| First Name | BLAKE |
| Middle Name | I |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
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| Organization Legal Name | CENTRAL COAST RADIOLOGY MEDICAL GROUP INC |
| Group Practice Pac Id | 2769506138 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 262 POSADA LN |
| Line 2 Street Address | SUITE C |
| Marker Of Address Line 2 Suppression | |
| City | TEMPLETON |
| State | CA |
| Zip Code | 934654057 |
| Phone Number | 8054341491 |
| Hospital Affiliation Ccn 1 | 050633 |
| Hospital Affiliation Lbn 1 | TWIN CITIES COMMUNITY HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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