Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake D. Alexander, MD, PA

Organization Dermatology Physician · NPI 1366626483

Blake D. Alexander, MD, PA is a Dermatology Physician in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 S 11th Ave Ste 203
Pocatello, ID 83201-4835
Phone: (208) 236-1600
Fax: (208) 236-6695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence M8227 (ID)

Record details

NPI number1366626483
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Blake Alexander — President · (208) 236-1600
NPI enumeratedDecember 26, 2007
Last updated in NPPESDecember 26, 2007
Mailing addressPo Box 4908, Pocatello, ID 83205-4908

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