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

Mr. Blake Marcus Hess, CSA

Individual provider Surgical Physician Assistant · NPI 1861502643

Mr. Blake Marcus Hess, CSA is a Surgical Physician Assistant in Glendale, Arizona. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2006
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Practice location Address checks out

12801 N 65th Ave
Glendale, AZ 85304-1648
Phone: (602) 677-7958
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Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 06-173 (CO)

Record details

NPI number1861502643
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

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