BENJAMIN BLAKE, PA-C
Physician Assistant
Active
Individual
NPI: 1053806539
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 15-02102 () |
Frequently Asked Questions
NPI 1053806539 is the National Provider Identifier for BENJAMIN BLAKE, PA-C, a Physician Assistant provider located in Neodesha, KS. This NPI was enumerated on June 26, 2018.
BENJAMIN BLAKE, PA-C practices at 2600 OTTAWA RD, Neodesha, KS 66757.
Quick Facts
- NPI
- 1053806539
- Type
- Individual
- Enumerated
- Jun 26, 2018
- Last Updated
- Sep 25, 2024
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