Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | E1999 | AR |
NPI | 1871585950 |
---|---|
Provider Name | Dr. Blake Graham Scheer |
First Address | Little Rock, AR 72205-4565 |
Second Address | Little Rock, AR 72205-4565 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H62063 | (02) | AR |