Richard W. Blake in Wasilla - Physician Assistant
Richard W. Blake - NPI 1740235829
Richard W. Blake is a Physician Assistant in Wasilla, Alaska. Richard W. Blake practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Richard W. Blake is 1740235829. The last update date is 2023-03-07.
Richard W. Blake's current location address is 3600 E Wickersham Way, Wasilla, Alaska. You can contact this provider via phone number 9073735950 and fax number 9073735954. The mailing address for Richard W. Blake is 3600 E Wickersham Way, Wasilla, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard W. Blake |
|---|---|
| Address | 3600 E Wickersham Way, Wasilla, Alaska |
| Phone Number | 9073735950 |
| Fax Number | 9073735954 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1740235829 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 3600 E Wickersham Way |
|---|---|
| City | Wasilla |
| State | Alaska (AK) |
| Post Code | 99654 |
| Phone Number | 9073735950 |
| Fax Number | 9073735954 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Richard W. Blake by the Centers for Medicare & Medicaid Services?
The Richard W. Blake has been assigned the NPI (National Provider Identifier) 1740235829 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Richard W. Blake's physical address?
The Richard W. Blake is physically located at 3600 E Wickersham Way, in the city of Wasilla, AK, with the postal code 99654.
What is Richard W. Blake's area of expertise and its corresponding taxonomy classification?
The Richard W. Blake's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When was the Richard W. Blake's 1740235829 issued?
The Richard W. Blake's 1740235829 was issued on 2006-05-24.
When was the Richard W. Blake's information last updated?
The Richard W. Blake's information was last updated on 2023-03-07.