IndividualActive
Paul Blake, DO (AS OF 5/31/2020)
NPI 1639799158 · Aerospace Medicine Physician · Little Rock Afb, AR
Provider details
- NPI number
- 1639799158
- Entity type
- Individual
- Primary specialty
- Aerospace Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO (AS OF 5/31/2020)
- Sex
- Male
- Sole proprietor
- No
- License
- 2470 (NE)
Mailing address
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Registry dates
- Enumerated
- 2020-04-24
- Last updated
- 2021-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.