MR. BLAKE MARCUS HESS CSA NPI 1861502643

NPI Information

NPI: 1861502643
Provider Name: MR. BLAKE MARCUS HESS, CSA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
12801 N 65TH AVE
GLENDALE, AZ
ZIP 85304
Phone: (602) 677-7958
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MR. Blake Marcus Hess, CSA is a surgical physician assistant in Glendale, AZ. MR. Blake Marcus Hess, CSA NPI is 1861502643. 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:

12801 N 65TH AVE
GLENDALE, AZ
ZIP 85304-648
Phone: (602) 677-7958

The enumeration date for this NPI number is 8/30/2006 and was last updated on 6/12/2023.

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	06-173	COLORADO	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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