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1366626483
BLAKE D. ALEXANDER, MD, PA
POCATELLO, ID
NPI
1366626483
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Entity Type
Organization
Authorized Contact
BLAKE D. ALEXANDER
President
208-236-1600
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: ID M8227)
Enumeration Date
2007-12-26
Last Update Date
2007-12-26
Business Address
BLAKE D. ALEXANDER, MD, PA
500 S 11TH AVE SUITE 203
POCATELLO, ID 83201-4835
Phone number: 208-236-1600
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Mailing Address
BLAKE D. ALEXANDER, MD, PA
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-236-1600
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