Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEX BLAZE
Active Sole ProprietorSpecialist · PUYALLUP, WA
Registration Details
- NPI Number
- 1316394489
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2016 (9.9447431365146 yrs)
- Last Updated
- Jul 11, 2024
- License
-
MA60630103 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16515 MERIDIAN E STE 101PUYALLUP, WA, 983756251Browse WA providers · Browse ZIP 98375
- Phone
- 2534663178
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in PUYALLUP, WA
| Name | Credential | NPI |
|---|---|---|
| DR. OVIDIO MOISES PENALVER | MD, PS | 1457357964 |
| WILLIAM S POLLARD III | M.D. | 1215941786 |
| LINDA S CRAIG | PT | 1881703528 |
| ALICE D WALTER | PT | 1811006562 |
| TERREL J MICHEL | M.D. | 1215020995 |
| MR. JOSEPH WARNESS | LMP | 1497843619 |
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.