Alex Blake, CSFA
Alex Blake, CSFA is a Surgical Physician Assistant in Blanchester, Ohio. Licensed in Ohio. Registered with an NPI since 2016.
- Licensed in
- OH
- In the registry since
- 2016
Practice location Address checks out
10743 S State Route 133Blanchester, OH 45107-9435
Phone: (937) 728-9782
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 157559 (OH) |
|---|
Record details
| NPI number | 1710348701 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSFA |
| Sole proprietor | No |
| NPI enumerated | March 17, 2016 |
| Last updated in NPPES | March 17, 2016 |
| Mailing address | 7777 Yankee Rd, Liberty Township, OH 45044-3500 |