Blake Daniel Alexander in Modesto - Mohs-micrographic Surgery

Blake Daniel Alexander - NPI 1033132170

Blake Daniel Alexander is a Mohs-micrographic Surgery in Modesto, California. Blake Daniel Alexander practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Blake Daniel Alexander is 1033132170. The last update date is 2014-09-03.

Blake Daniel Alexander's current location address is 1101 Standiford Ave, Modesto, California. You can contact this provider via phone number 2095785072 and fax number 2095785292. The mailing address for Blake Daniel Alexander is 1101 Standiford Ave, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Blake Daniel Alexander
Address 1101 Standiford Ave, Modesto, California
Phone Number 2095785072
Fax Number 2095785292
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1033132170
Provider Enumeration Date 2006-07-26
Last Updated Date 2014-09-03

Provider Mailing Address Detail

Address 1101 Standiford Ave
City Modesto
State California (CA)
Post Code 953500982
Phone Number 2095785072
Fax Number 2095785292

Provider's Primary Taxonomy Detail

Speciality Mohs-micrographic Surgery
Taxonomy 207Nd0101X
Licence No C52849
Definition:
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ48224Z CA MEDICARE IDENTIFICATION #

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FAQs about Blake Daniel Alexander

What is the unique 10-digit identifier code assigned to Blake Daniel Alexander by the Centers for Medicare & Medicaid Services?

The Blake Daniel Alexander has been issued the NPI (National Provider Identifier) 1033132170 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Blake Daniel Alexander?

The Blake Daniel Alexander is situated at 1101 Standiford Ave, in the city of Modesto, state of CA, with the zip code 953500982.

What is the Blake Daniel Alexander's area of specialization and corresponding taxonomy classification?

The Blake Daniel Alexander's specialty field is Mohs-micrographic Surgery, and it falls under the taxonomy code 207Nd0101X, which categorizes healthcare providers based on their specialties.

On what date was the 1033132170 assigned to Blake Daniel Alexander?

The Blake Daniel Alexander was issued its 1033132170 on 2006-07-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Blake Daniel Alexander last refreshed?

The information related to the Blake Daniel Alexander, including its address, specialty, and other relevant details, was last updated on 2014-09-03.

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