Blake Reza Shahlaie, PA-C

NPI #1346805454 in Bethel, Alaska

Provider Information

NPI Number
1346805454
Entity Type
Individual
Name
Blake Reza Shahlaie, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
May 3, 2019
Last Updated
Oct 7, 2019

Practice Location

Address
185 HOFFMAN ROAD
City
Bethel
State
Alaska
ZIP Code
55995
Phone
(907) 543-5158

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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