Blake Alan Harris
NPI #1487484259 in Wright Patterson Afb, Ohio
Provider Information
- NPI Number
- 1487484259
- Entity Type
- Individual
- Name
- Blake Alan Harris
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other
- Enumeration Date
- Aug 6, 2024
- Last Updated
- Aug 6, 2024
Practice Location
- Address
- 4881 SUGAR MAPLE DR
- State
- Ohio
- ZIP Code
- 45433-5529
- Phone
- (937) 257-9046
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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