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RICHARD BLAKE, PA-C

PA-C

Medical Physician Assistant

NPI: 1740235829IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant

Physician Assistant

Code: 363A00000X

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

482(AK)PADA482(AK)

CMS Specialties

Education

UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE

Class of 2000

Contact & Hours

Address
3600 E WICKERSHAM WAY
WASILLA, AK 99654

Quick Facts

NPI
1740235829
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
1
Years in Practice
26

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