IndividualActive
Jacob Blake, M.D.
NPI 1154486769 · Pain Medicine (Anesthesiology) Physician · Reno, NV
Provider details
- NPI number
- 1154486769
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 14407 (NV)
Practice location
5590 Kietzke Ln
Reno, NV 89511-3019
Phone: (775) 323-2080
Fax: (775) 683-9404
Mailing address
5590 Kietzke Ln
Reno, NV 89511-3019
Registry dates
- Enumerated
- 2006-12-26
- Last updated
- 2019-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.