Dermatology, MOHS-Micrographic Surgery
Dr. JOHN BLAKE MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1508826587 · enumerated 2006-03-24 · record updated 2017-05-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 210 W 300 N 7-3, ROOSEVELT, UT, 84066 (435) 722-3971 Fax (435) 722-6104 Google Maps Apple Maps OpenStreetMap
- Practice location 210 W 300 N 7-3, ROOSEVELT, UT, 84066 (435) 722-3971 Fax (435) 722-6104 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · Primary · License 49109901205 UT
In this directory
UT Duchesne County Roosevelt Dermatology, MOHS-Micrographic Surgery
Locations and evidence
-
Practice location
ROOSEVELT, UT, 84066
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.