IndividualActive
Roger Blake, M.D.
NPI 1023049335 · Surgical Critical Care Physician · Cleveland, MS
Provider details
- NPI number
- 1023049335
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 16881 (MS)
Practice location
907 E Sunflower Rd
101
Cleveland, MS 38732-2830
Phone: (662) 846-8880
Fax: (662) 846-8886
Mailing address
907 E Sunflower Rd
Cleveland, MS 38732-2830
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2024-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.