Alex Blaze is a Specialist based in Puyallup, WA. Alex Blaze practices in Puyallup, WA. The NPI Number for Alex Blaze is 1316394489 and holds a License No. MA60630103 (Washington).
The current practice location address for Alex Blaze is 16515 Meridian E Ste 101, Puyallup, WA and can be reached out via phone at 253-466-3178.
Location: 16515 Meridian E Ste 101, Puyallup, WA, 98375-6251
Provider Profile Details
NPI Number
1316394489
Provider Name
Alex Blaze
Credential
Provider Entity Type
Individual
Gender
Male
Address
16515 Meridian E Ste 101, Puyallup, WA, 98375-6251
Phone Number
253-466-3178
Fax Number
Provider Enumeration Date
05/19/2016
Last Update Date
08/17/2024
Provider Business Practice Location Address Details
Address
16515 Meridian E Ste 101
City
State
Zip
98375-6251
Phone Number
253-466-3178
Fax Number
Provider Business Mailing Address Details
Address
16515 Meridian E Ste 101
City
State
Zip
98375-6251
Phone Number
253-466-3178
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MA60630103 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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