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

Alexander Daniel Blake, PA-C

Individual provider Physician Assistant · NPI 1104532795

Alexander Daniel Blake, PA-C is a Physician Assistant in Ft Wainwright, Alaska. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4076 Neely Rd Rm 3C-404
Ft Wainwright, AK 99703-7440
Phone: (907) 361-6028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104532795
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2023
Last updated in NPPESOctober 13, 2023
Certification dateOctober 12, 2023
Mailing address4076 Neely Rd, Rm 3c-404, Ft. Wainwright, AK 99703

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