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Dr. John S Blake, MD
MOHS-Micrographic Surgery Physician in Roosevelt, Utah
NPI 1508826587

John S Blake is a MOHS-Micrographic Surgery Physician based in Roosevelt, UT and is specialized in MOHS-Micrographic Surgery. John S Blake practices in Roosevelt, UT and has the professional credentials of MD. The NPI Number for John S Blake is 1508826587 and holds a License No. 49109901205 (Utah).

The current practice location address for John S Blake is 210 W 300 N 7-3, Roosevelt, UT and can be reached out via phone at 435-722-3971 and via fax at 435-722-6104.

Location: 210 W 300 N 7-3, Roosevelt, UT, 84066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508826587
Provider Name
John S Blake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
210 W 300 N 7-3, Roosevelt, UT, 84066
Phone Number
435-722-3971
Fax Number
435-722-6104
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D3948 05 UT
institution
Provider Business Practice Location Address Details
Address
210 W 300 N 7-3
City
Roosevelt
State
Utah
Zip
84066
Phone Number
435-722-3971
Fax Number
435-722-6104
person
Provider Business Mailing Address Details
Address
210 W 300 N 7-3
City
Roosevelt
State
Utah
Zip
84066
Phone Number
435-722-3971
Fax Number
435-722-6104
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
207ND0101X
License No.
49109901205 (Utah)
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
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