Shelley Blaker, PA
NPI #1326293523 in Phila, Pennsylvania
Provider Information
- NPI Number
- 1326293523
- Entity Type
- Individual
- Name
- Shelley Blaker, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Dec 2, 2008
- Last Updated
- Dec 2, 2008
Practice Location
- Address
- 5401 OLD YORK RD
- Address 2
- WILLOWCREST BLDG, 4TH FL
- City
- Phila
- State
- Pennsylvania
- ZIP Code
- 19141-3030
- Phone
- (215) 456-3953
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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