person
Judith Elise Blake, PA-C
Surgical Physician Assistant in Daphne, Alabama
NPI 1942749965

Judith Elise Blake is a Surgical Physician Assistant based in Daphne, AL and is specialized in Surgical. Judith Elise Blake practices in Daphne, AL and has the professional credentials of PA-C. The NPI Number for Judith Elise Blake is 1942749965 and holds a License No. PA.1207 (Alabama).

The current practice location address for Judith Elise Blake is 1505 Daphne Ave, Daphne, AL and can be reached out via phone at 251-625-2663 and via fax at 251-625-3198. You can also correspond with Judith Elise Blake through the mailing address at 1505 DAPHNE AVE, DAPHNE, AL - 36526-4298 (mailing address contact number: 251-625-2663).

Location: 1505 Daphne Ave, Daphne, AL, 36526-4298
person
Provider Profile Details
NPI Number
1942749965
Provider Name
Judith Elise Blake
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1505 Daphne Ave, Daphne, AL, 36526-4298
Phone Number
251-625-2663
Fax Number
251-625-3198
Provider Enumeration Date
02/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1505 Daphne Ave
City
State
Zip
36526-4298
Phone Number
251-625-2663
Fax Number
251-625-3198
person
Provider Business Mailing Address Details
Address
1505 Daphne Ave
City
State
Zip
36526-4298
Phone Number
251-625-2663
Fax Number
251-625-3198
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA.1207 (Alabama)
Definition
Definition to come...
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