Individual provider · Type 1 NPI

Blake Phillip Dreihaus, PA-C

Surgical Physician Assistant · Fresno, CA

NPI number 1285257063 Active

Practice location

2823 Fresno St
Fresno, CA 93721-1324

Call (559) 459-3705 Map

Fax (559) 459-3720

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X58389 (CA)
Surgical Physician Assistant Primary 363AS0400X58389 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1285257063

Blake Phillip Dreihaus, PA-C's National Provider Identifier is 1285257063, issued on May 27, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fresno, CA. The record was last updated on Aug 14, 2020.