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Dr. Roger Alan Blake, MD
Surgical Critical Care Physician in Cleveland, Mississippi
NPI 1023049335

Roger Alan Blake is a Surgical Critical Care Physician based in Cleveland, MS and is specialized in Surgical Critical Care. Roger Alan Blake practices in Cleveland, MS and has the professional credentials of MD. The NPI Number for Roger Alan Blake is 1023049335 and holds a License No. 16881 (Mississippi).

The current practice location address for Roger Alan Blake is 907 E Sunflower Rd, Cleveland, MS and can be reached out via phone at 662-846-8880 and via fax at 662-846-8886. You can also correspond with Roger Alan Blake through the mailing address at 907 E SUNFLOWER RD, CLEVELAND, MS - 38732-2830 (mailing address contact number: 662-846-8880).

Location: 907 E Sunflower Rd, Cleveland, MS, 38732-2830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023049335
Provider Name
Roger Alan Blake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
907 E Sunflower Rd, Cleveland, MS, 38732-2830
Phone Number
662-846-8880
Fax Number
662-846-8886
Provider Enumeration Date
07/05/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00122620 05 MS
7887026 01 AETNA
institution
Provider Business Practice Location Address Details
Address
907 E Sunflower Rd
City
Cleveland
State
Mississippi
Zip
38732-2830
Phone Number
662-846-8880
Fax Number
662-846-8886
person
Provider Business Mailing Address Details
Address
907 E Sunflower Rd
City
Cleveland
State
Mississippi
Zip
38732-2830
Phone Number
662-846-8880
Fax Number
662-846-8886
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MC-2670 (Idaho)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgical Critical Care
Taxonomy
2086S0102X
License No.
16881 (Mississippi)
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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