Individual provider · Type 1 NPI
Richard W. Blake, PA-C
Medical Physician Assistant · Wasilla, AK
NPI number
1740235829
Active
Practice location
3600 E Wickersham Way
Wasilla, AK 99654
Fax (907) 373-5954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant | 363AM0700X | 482 (AK) |
| Medical Physician Assistant Primary | 363AM0700X | PADA482 (AK) |
Medical Physician Assistant: Definition to come...
6 other providers at this address
- Cottonwood Creek Clinic LLCInternal Medicine Physician Wasilla, AK NPI 1134523855
- Otto IncHearing Instrument Specialist Wasilla, AK NPI 1831447119
- James O. StaengelHearing Instrument Specialist Wasilla, AK NPI 1396093670
- Jodie H. EscotHearing Instrument Specialist Wasilla, AK NPI 1952659237
- Melissa E. San RomanHearing Instrument Specialist Wasilla, AK NPI 1104317098
- Raleen A. McCourryHearing Instrument Specialist Wasilla, AK NPI 1124376405
Other medical physician assistant providers in Wasilla
- Margaret Elizabeth Awadalla, PA-CMedical Physician Assistant Wasilla, AK NPI 1013723980
- Nathan Fitzgerald, PA-CMedical Physician Assistant Wasilla, AK NPI 1043738461
- Karen Rebecca Clement, PAMedical Physician Assistant Wasilla, AK NPI 1063036937
- Savanna L. Simmerman, PA-CMedical Physician Assistant Wasilla, AK NPI 1154142271
- Kathryn Albert, PA-CMedical Physician Assistant Wasilla, AK NPI 1356754618
- Ksenia Yuryevna Sokolova, PA-CMedical Physician Assistant Wasilla, AK NPI 1396192860
- Scott William Schafer, PA-C, MPASMedical Physician Assistant Wasilla, AK NPI 1427049238
- Jessica D. Van Wulven, PA-CMedical Physician Assistant Wasilla, AK NPI 1457758815
About NPI 1740235829
Richard W. Blake, PA-C's National Provider Identifier is 1740235829, issued on May 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wasilla, AK. The record was last updated on Mar 7, 2023.