Trent Alton Blake in Gilbert - Physician Assistant

Trent Alton Blake - NPI 1841234010

Trent Alton Blake is a Physician Assistant in Gilbert, Arizona. Trent Alton Blake practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Trent Alton Blake is 1841234010. The last update date is 2011-10-24.

Trent Alton Blake's current location address is 1489 S Higley Rd, Gilbert, Arizona. You can contact this provider via phone number 4804578800 and fax number 4804578885. The mailing address for Trent Alton Blake is 1489 S Higley Rd, Gilbert, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Trent Alton Blake
Address 1489 S Higley Rd, Gilbert, Arizona
Phone Number 4804578800
Fax Number 4804578885
Sole Proprietor N
Credentials PA-C, ATC

NPI Number Detail

NPI Number 1841234010
Provider Enumeration Date 2006-06-16
Last Updated Date 2011-10-24

Provider Mailing Address Detail

Address 1489 S Higley Rd
City Gilbert
State Arizona (AZ)
Post Code 852964776
Phone Number 4804578800
Fax Number 4804578885

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 4298
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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FAQs about Trent Alton Blake

What is the unique 10-digit identification code assigned to Trent Alton Blake by the Centers for Medicare & Medicaid Services?

The Trent Alton Blake has been issued the NPI (National Provider Identifier) 1841234010, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Trent Alton Blake's facilities are situated?

The facilities of Trent Alton Blake are physically located at the following address: 1489 S Higley Rd, Gilbert, AZ, 852964776.

What is Trent Alton Blake's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Trent Alton Blake is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

When was the Trent Alton Blake's 1841234010 issued?

The Trent Alton Blake's 1841234010 was issued on 2006-06-16.

When was the information regarding Trent Alton Blake most recently updated?

The details pertaining to the Trent Alton Blake, including its address, specialty, and other relevant information, were last refreshed on 2011-10-24.

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