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HEIDI C BLAKE M.D.

Emergency Medical Services >> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1639109267

Individual Registrant:
 HEIDI C BLAKE M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5 ALUMNI DR  EXETER, NH 03833-2128 US
Tel: 603-580-6793  Fax: 603-580-7006

Contact information for business:
5 ALUMNI DR  EXETER, NH 03833-2128 US
Tel: 603-580-6793  Fax: 603-580-7006

Registration Information:
NPI: 1639109267
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207PE0004XAllopathic & Osteopathic Physicians
Emergency Medicine
Emergency Medical Services
NH15691
N207PE0004XAllopathic & Osteopathic Physicians
Emergency Medicine
ME014658

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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