DANIEL STEPHEN BLAKE SURGICAL FIRST ASST NPI 1750390803

NPI Information

NPI: 1750390803
Provider Name: DANIEL STEPHEN BLAKE, SURGICAL FIRST ASST
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1839 E ENROSE ST
MESA, AZ
ZIP 85203
Phone: (480) 220-8496
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Daniel Stephen Blake, SURGICAL FIRST ASST is a surgical physician assistant in Mesa, AZ. Daniel Stephen Blake, SURGICAL FIRST ASST NPI is 1750390803. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1839 E ENROSE ST
MESA, AZ
ZIP 85203-822
Phone: (480) 220-8496

The enumeration date for this NPI number is 8/7/2006 and was last updated on 9/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	F01309	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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