Randal Blake, PA-C, MPAS
NPI #1598479370 in Fort Bragg, North Carolina
Provider Information
- NPI Number
- 1598479370
- Entity Type
- Individual
- Name
- Randal Blake, PA-C, MPAS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C, MPAS
- Enumeration Date
- Jan 6, 2023
- Last Updated
- Dec 2, 2025
Practice Location
- Address
- 2817 ROCK MERRITT AVE
- City
- Fort Bragg
- State
- North Carolina
- ZIP Code
- 28310-4504
- Phone
- (910) 907-8922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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