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Alex Blake, CSFA
Surgical Physician Assistant in Blanchester, Ohio
NPI 1710348701

Alex Blake is a Surgical Physician Assistant based in Liberty Township, OH and is specialized in Surgical. Alex Blake practices in Blanchester, OH and has the professional credentials of CSFA. The NPI Number for Alex Blake is 1710348701 and holds a License No. 157559 (Ohio).

The current practice location address for Alex Blake is 10743 S State Route 133, Blanchester, OH and can be reached out via phone at 937-728-9782.

Location: 10743 S State Route 133, Blanchester, OH, 45044-3500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710348701
Provider Name
Alex Blake
Credential
CSFA
Provider Entity Type
Individual
Gender
Male
Address
10743 S State Route 133, Blanchester, OH, 45044-3500
Phone Number
937-728-9782
Fax Number
Provider Enumeration Date
03/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10743 S State Route 133
City
Blanchester
State
Ohio
Zip
45107-9435
Phone Number
937-728-9782
Fax Number
person
Provider Business Mailing Address Details
Address
10743 S State Route 133
City
Blanchester
State
Ohio
Zip
45107-9435
Phone Number
937-728-9782
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
157559 (Ohio)
Definition
Definition to come...
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