person
Mr. Andre Anthony Blake, PA
Surgical Physician Assistant in Redlands, California
NPI 1588655682

Andre Anthony Blake is a Surgical Physician Assistant based in San Bernardino, CA and is specialized in Surgical. Andre Anthony Blake practices in Redlands, CA and has the professional credentials of PA. The NPI Number for Andre Anthony Blake is 1588655682 and holds a License No. PA16708 (California).

The current practice location address for Andre Anthony Blake is 2 W Fern Ave, Redlands, CA and can be reached out via phone at 909-793-3311 and via fax at 909-335-4190. You can also correspond with Andre Anthony Blake through the mailing address at PO BOX 10069, SAN BERNARDINO, CA - 92423-0069 (mailing address contact number: ).

Location: 2 W Fern Ave, Redlands, CA, 92423-0069
person
Provider Profile Details
NPI Number
1588655682
Provider Name
Andre Anthony Blake
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2 W Fern Ave, Redlands, CA, 92423-0069
Phone Number
909-793-3311
Fax Number
909-335-4190
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2 W Fern Ave
City
State
Zip
92373-5916
Phone Number
909-793-3311
Fax Number
909-335-4190
person
Provider Business Mailing Address Details
Address
2 W Fern Ave
City
State
Zip
92373-5916
Phone Number
909-793-3311
Fax Number
909-335-4190
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA16708 (California)
Definition
Definition to come...
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