Alex Blaze
Alex Blaze is a Specialist in Puyallup, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2016
Practice location Address checks out
16515 Meridian E Ste 101Puyallup, WA 98375-6251
Phone: (253) 466-3178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence MA60630103 (WA) |
|---|
Record details
| NPI number | 1316394489 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 19, 2016 |
| Last updated in NPPES | July 11, 2024 |
| Certification date | July 11, 2024 |
| Mailing address | 16515 Meridian E Ste 101, Puyallup, WA 98375-6251 |
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