Alex Blake, CSFA
NPI #1710348701 in Blanchester, Ohio
Provider Information
- NPI Number
- 1710348701
- Entity Type
- Individual
- Name
- Alex Blake, CSFA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- CSFA
- Enumeration Date
- Mar 17, 2016
- Last Updated
- Mar 17, 2016
Practice Location
- Address
- 10743 S STATE ROUTE 133
- City
- Blanchester
- State
- Ohio
- ZIP Code
- 45107-9435
- Phone
- (937) 728-9782
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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