Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXANDER DANIEL BLAKE, PA-C
ActivePhysician Assistant · FT. WAINWRIGHT, AK
Registration Details
- NPI Number
- 1104532795
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2023 (3.2469625115813 yrs)
- Last Updated
- Oct 13, 2023
Practice Information
- Address
-
4076 NEELY RDRM 3C-404FT. WAINWRIGHT, AK, 997037440Browse AK providers · Browse ZIP 99703
- Phone
- 9073616028
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FT. WAINWRIGHT, AK
| Name | Credential | NPI |
|---|---|---|
| MATTHEW ALEXANDER MORISETTE | PA-C | 1174992036 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.