Alex Blake, CSFA
Surgical Physician Assistant · Blanchester, OH
Practice location
10743 S State Route 133Blanchester, OH 45107-9435
- Phone
- (937) 728-9782
NPI record
- NPI
- 1710348701
- Entity type
- Individual (Type 1)
- Enumeration date
- March 17, 2016
- Last updated
- March 17, 2016
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X |
157559 | OH |
Mailing address
7777 Yankee RdLiberty Township, OH 45044-3500
- Phone
- (513) 803-9600
About Alex Blake
Alex Blake, CSFA is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Physician Assistant (code 363AS0400X). The practice location is 10743 S State Route 133, Blanchester, OH 45107-9435. The NPI number 1710348701 was assigned on March 17, 2016 and the record was last updated on March 17, 2016.
Alex Blake lists a license in the registry: #157559 (OH) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Alex Blake, CSFA?
The NPI number is 1710348701.
What is the phone number of Alex Blake?
The phone number listed for the practice location is (937) 728-9782.
Where is Alex Blake located?
10743 S State Route 133, Blanchester, OH 45107-9435.
What is the taxonomy code for Alex Blake?
The primary taxonomy code is 363AS0400X – Surgical Physician Assistant.
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.