Daniel Stephen Blake, SURGICALFIRSTASST
Daniel Stephen Blake, SURGICALFIRSTASST is a Surgical Physician Assistant in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2006
Practice location Address checks out
1839 E Enrose StMesa, AZ 85203-5822
Phone: (480) 220-8496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence F01309 (AZ) |
|---|
Record details
| NPI number | 1750390803 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SURGICALFIRSTASST |
| Sole proprietor | Yes |
| NPI enumerated | August 7, 2006 |
| Last updated in NPPES | September 16, 2019 |
| Mailing address | 1839 E Enrose St, Mesa, AZ 85203-5822 |
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