Individual provider · Type 1 NPI

John S. Blake, MD

MOHS-Micrographic Surgery Physician · Roosevelt, UT

NPI number 1508826587 Active

Practice location

210 W 300 N 7-3
Roosevelt, UT 84066

Fax (435) 722-6104

Specialties and licenses

TaxonomyCodeLicense
MOHS-Micrographic Surgery Physician Primary 207ND0101X49109901205 (UT)

MOHS-Micrographic Surgery Physician: 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…

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About NPI 1508826587

John S. Blake, MD's National Provider Identifier is 1508826587, issued on Mar 24, 2006. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Roosevelt, UT. The record was last updated on May 2, 2017.