Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD W. BLAKE, PA-C
Active Sole ProprietorRICHARD W. BLAKE, PA-C is a Medical Physician Assistant healthcare provider located in WASILLA, Alaska. NPI 1740235829 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WASILLA, AK
Registration Details
- NPI Number
- 1740235829
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2006 (20.193589542082 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
482 (AK)PADA482 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3600 E WICKERSHAM WAYWASILLA, AK, 99654Browse AK providers · Browse ZIP 99654
- Phone
- 9073735950
- Fax
- 9073735954
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in WASILLA, AK
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT WILLIAM SCHAFER | PA-C, MPAS | 1427049238 |
| MS. SARAH Y B KEHOE | PA-C | 1952490708 |
| JOHN WAYNE MOORE | PA-C | 1669552550 |
| SHANNA M MCGRATH | MPH, PA-C, RD, CDE | 1548300585 |
| DR. DENNIS L TRANEL | PSYD, MPAS, LSW,PAC | 1578730024 |
| LEAH M BRAMER | PAC | 1548426471 |
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.