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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEX BLAKE, CSFA

Active

ALEX BLAKE, CSFA is a Surgical Physician Assistant healthcare provider located in BLANCHESTER, Ohio. NPI 1710348701 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · BLANCHESTER, OH

Registration Details

NPI Number
1710348701
Provider Type
Individual
Gender
Male
NPI Issued
Mar 17, 2016 (10.370197949633 yrs)
Last Updated
Mar 17, 2016
License
157559 (OH)

Practice Information

Address
10743 S STATE ROUTE 133
BLANCHESTER, OH, 451079435
Browse OH providers · Browse ZIP 45107
Phone
9377289782
Primary Specialty
Surgical Physician Assistant
363AS0400X
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.