BLAKE SURGICAL ASSOCIATION PLLC
Radiology at Sunflower Rd, Delta State, MS

License number
Mississippi 16881
Category
Radiology
Type
Surgery
License number
Mississippi 16881
Category
Radiology
Type
Surgical Critical Care
Owner
Name: DR. ROGER BLAKE M.D.
Title: OWNER/PHYSICIAN
Phone: (662) 846-8880
Address
Address
907 E Sunflower Rd #101, Delta State, MS 38732
National Provider ID: 1154521466
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BLAKE SURGICAL ASSOCIATION PLLC at bizstanding.com

Blake Surgical Association, PLLC

Delta State, MS

Industry:
Medical Doctor's Office
Doing business as:
Blake Surgical Assoc<br>Blake Surgical Association - Roger A Blake MD<br>Blake Surgical Association
Phone:
(662) 846-8880 (Phone)
Addresses:
907 E Sunflower Rd SUITE 101, Cleveland, MS 38732 (Physical)
PO Box 609, Delta State, MS 38732
State ID:
876540
Medical Doctor, Owners:
Vicki  Blake (Member), 907 E Sunflower Rd #101, Cleveland, MS 38732,Roger  Blake (President),Vicky Blake (Office Manager),...
Agent:
Roger A. C. Blake,907 E Sunflower Rd #101, Cleveland, MS 38732 (Physical)
Categories:
General Surgeons, Physicians & Surgeons

Radiology licenses in Mississippi



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