Individual provider · Type 1 NPI
Alex Blake, CSFA
Surgical Physician Assistant · Blanchester, OH
NPI number
1710348701
Active
Practice location
10743 S State Route 133
Blanchester, OH 45107-9435
Mailing address
7777 Yankee Rd
Liberty Township, OH 45044-3500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 157559 (OH) |
Surgical Physician Assistant: Definition to come...
About NPI 1710348701
Alex Blake, CSFA's National Provider Identifier is 1710348701, issued on Mar 17, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Blanchester, OH. The record was last updated on Mar 17, 2016.