BLAKE T GREENFIELD

ELLSWORTH AFB, SD
NPI1578501326
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SD  0553)
Enumeration Date2006-06-03
Last Update Date2018-05-31
Business Address
BLAKE T GREENFIELD PA-C
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706
Phone number: 605-385-3111
Mailing Address
BLAKE T GREENFIELD PA-C
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706-4821
Phone number: 605-385-3208
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