DANIEL STEPHEN BLAKE

MESA, AZ
NPI1750390803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: AZ  F01309)
Enumeration Date2006-08-07
Last Update Date2019-09-16
Business Address
DANIEL STEPHEN BLAKE Surgical First Asst
1839 E ENROSE ST
MESA, AZ 85203-5822
Phone number: 480-220-8496
Mailing Address
DANIEL STEPHEN BLAKE Surgical First Asst
1839 E ENROSE ST
MESA, AZ 85203-5822
Phone number: 480-220-8496
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