Jaren H Blake, MD | |
777 N 500 W Ste 101a, Provo, UT 84601-1594 | |
(385) 375-7989 | |
Not Available |
Full Name | Jaren H Blake |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 777 N 500 W Ste 101a, Provo, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841217858 | NPI | - | NPPES |
291778 | Other | ID | ALTIUS OLD |
76744 | Other | ID | BLUE CROSS OLD |
76965 | Other | ID | BLUE CROSS |
000010157782 | Other | ID | REGENCE BLUE SHIELD |
313147 | Other | ID | ALTIUS |
807555200 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M-9562 (Idaho) | Secondary |
207Q00000X | Family Medicine | 8115390-1205 (Utah) | Primary |
207Q00000X | Family Medicine | 14222 (Nevada) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Jaren H Blake, MD 3214 N University Ave # 116, Provo, UT 84604-4405 Ph: () - | Jaren H Blake, MD 777 N 500 W Ste 101a, Provo, UT 84601-1594 Ph: (385) 375-7989 |
Dr. Robert Joel Bush, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd Ste 300, Provo, UT 84601 Phone: 801-852-1443 | |
Janee Namealoha Sells, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3200 N Canyon Rd Ste C, Provo, UT 84604 Phone: 385-375-8724 | |
Dr. Marlin L Christianson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 West 940 North, Provo, UT 84604 Phone: 801-357-7930 Fax: 801-357-7014 | |
Tyson Schwab, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 395 W Bulldog Blvd Ste 205, Provo, UT 84604 Phone: 801-357-1770 | |
Mr. Gregory Lawrence Nielsen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1750 N Wymount Terrace Dr, Provo, UT 84604 Phone: 801-422-2771 Fax: 801-422-0761 | |
Mr. Tyler Jason Fieldsted, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 475 W 940 N, Provo, UT 84604 Phone: 801-357-7926 Fax: 801-357-7927 | |
Dr. Matthew Craig Evans, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1157 N 300 W, #201, Provo, UT 84604 Phone: 801-581-2000 |