| Gerald Blake, Md | |
|
1738 North D Street San Bernardino CA 92405 | |
| (909) 882-3962 | |
| Not Available |
| Full Name | Gerald Blake, Md |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1738 North D Street, San Bernardino, California |
| Authorized Official Name and Position | Gerald Blake (MD) |
| Authorized Official Contact | 9098823962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald Blake, Md 1738 North D Street San Bernardino CA 92405 Ph: (909) 882-3962 | Gerald Blake, Md 1738 North D Street San Bernardino CA 92405 Ph: (909) 882-3962 |
| NPI Number | 1629287578 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629287578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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