BLAKE D. ALEXANDER, MD, PA

POCATELLO, ID
NPI1366626483
Entity TypeOrganization
Authorized ContactBLAKE D. ALEXANDER
President
208-236-1600
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: ID  M8227)
Enumeration Date2007-12-26
Last Update Date2007-12-26
Business Address
BLAKE D. ALEXANDER, MD, PA
500 S 11TH AVE SUITE 203
POCATELLO, ID 83201-4835
Phone number: 208-236-1600
Mailing Address
BLAKE D. ALEXANDER, MD, PA
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-236-1600