Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TRENT ALTON BLAKE, PA-C, ATC
ActiveMR. TRENT ALTON BLAKE, PA-C, ATC is a Physician Assistant healthcare provider located in GILBERT, Arizona. NPI 1841234010 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GILBERT, AZ
Registration Details
- NPI Number
- 1841234010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2006 (20.201163081359 yrs)
- Last Updated
- Oct 24, 2011
- Licenses
-
0661 (AZ)4298 (AZ)
Practice Information
- Address
-
1489 S HIGLEY RDSTE 101GILBERT, AZ, 852964776Browse AZ providers · Browse ZIP 85296
- Phone
- 4804578800
- Fax
- 4804578885
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in GILBERT, AZ
| Name | Credential | NPI |
|---|---|---|
| BETH ERICKSON FOLEY | P.A.-C | 1417957556 |
| PATRICIA M LUCENTE | PA-C | 1962488452 |
| MRS. JULIE ALLEN KENNEDY | PAC | 1437120144 |
| JAMES GODFREY MORPHIS III | PA | 1306818794 |
| KATIE M FOX THOMPSON | PAC | 1871562835 |
| MS. NICOLE C FALLACARO | PA | 1174582290 |
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.