Mr. Andre Anthony Blake, PA
Mr. Andre Anthony Blake, PA is a Surgical Physician Assistant in Redlands, California. Licensed in California. Registered with an NPI since 2005.
- Licensed in
- CA
- In the registry since
- 2005
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
2 W Fern AveRedlands, CA 92373-5916
Phone: (909) 793-3311
Fax: (909) 335-4190
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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 PA16708 (CA) |
|---|
Record details
| NPI number | 1588655682 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | October 31, 2005 |
| Last updated in NPPES | February 3, 2020 |
| Certification date | February 3, 2020 |
| Mailing address | Po Box 10069, San Bernardino, CA 92423-0069 |
Other providers in Redlands
-
Mr. Gerardo Arreguin, PA
210 E Sunset Dr N, Redlands, CA 92373-6860 · (909) 965-8965
-
Maureen Gerard Warren, PA-C
2 W Fern Ave, Redlands, CA 92373-5916 · (909) 793-3311