Benjamin Blake, PA-C

NPI #1053806539 in Neodesha, Kansas

Provider Information

NPI Number
1053806539
Entity Type
Individual
Name
Benjamin Blake, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jun 26, 2018
Last Updated
Sep 25, 2024

Practice Location

Address
2600 OTTAWA RD
State
Kansas
ZIP Code
66757-1897
Phone
(620) 325-2611

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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