RICHARD BLAKE, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1740235829
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | - |
| Physician Assistant - Medical | 363AM0700X | Yes | PADA482 (AK) |
Frequently Asked Questions
NPI 1740235829 is the National Provider Identifier for RICHARD BLAKE, PA-C, a Physician Assistant - Medical provider located in Wasilla, AK. This NPI was enumerated on May 24, 2006.
RICHARD BLAKE, PA-C practices at 3600 E WICKERSHAM WAY, Wasilla, AK 99654.
Quick Facts
- NPI
- 1740235829
- Type
- Individual
- Enumerated
- May 24, 2006
- Last Updated
- Mar 7, 2023
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