person
Jaren H. Blake, MD
Family Medicine Physician in Provo, Utah
NPI 1841217858

Jaren H. Blake is a Family Medicine Physician based in Provo, UT. Jaren H. Blake practices in Provo, UT and has the professional credentials of MD. The NPI Number for Jaren H. Blake is 1841217858 and holds a License No. M-9562 (Utah).

The current practice location address for Jaren H. Blake is 777 N 500 W Ste 101A, Provo, UT and can be reached out via phone at 385-375-7989. You can also correspond with Jaren H. Blake through the mailing address at 3214 N UNIVERSITY AVE # 116, PROVO, UT - 84604-4405 (mailing address contact number: ).

Location: 777 N 500 W Ste 101A, Provo, UT, 84604-4405
person
Provider Profile Details
NPI Number
1841217858
Provider Name
Jaren H. Blake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
777 N 500 W Ste 101A, Provo, UT, 84604-4405
Phone Number
385-375-7989
Fax Number
Provider Enumeration Date
07/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
291778 01 ID ALTIUS OLD
76744 01 ID BLUE CROSS OLD
76965 01 ID BLUE CROSS
000010157782 01 ID REGENCE BLUE SHIELD
313147 01 ID ALTIUS
807555200 05 ID
institution
Provider Business Practice Location Address Details
Address
777 N 500 W Ste 101A
City
State
Zip
84601-1594
Phone Number
385-375-7989
Fax Number
person
Provider Business Mailing Address Details
Address
3214 N University Ave # 116
City
State
Zip
84604-4405
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
M-9562 (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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