Alex Blaze

Specialist · Puyallup, WA

Individual Active NPI

NPI number 1316394489

Practice location

16515 Meridian E Ste 101
Puyallup, WA 98375-6251
Phone
(253) 466-3178

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NPI record

NPI
1316394489
Entity type
Individual (Type 1)
Enumeration date
May 19, 2016
Last updated
July 11, 2024
Certified
July 11, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X MA60630103 WA

About Alex Blaze

Alex Blaze is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 16515 Meridian E Ste 101, Puyallup, WA 98375-6251. The NPI number 1316394489 was assigned on May 19, 2016 and the record was last updated on July 11, 2024.

Alex Blaze lists a license in the registry: #MA60630103 (WA) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alex Blaze?

The NPI number is 1316394489.

What is the phone number of Alex Blaze?

The phone number listed for the practice location is (253) 466-3178.

Where is Alex Blaze located?

16515 Meridian E Ste 101, Puyallup, WA 98375-6251.

What is the taxonomy code for Alex Blaze?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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