IndividualActive
Alexander Blake, PA-C
NPI 1104532795 · Physician Assistant · Ft. Wainwright, AK
Provider details
- NPI number
- 1104532795
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Practice location
4076 Neely Rd
Rm 3c-404
Ft. Wainwright, AK 99703-7440
Phone: (907) 361-6028
Mailing address
4076 Neely Rd
Ft. Wainwright, AK 99703
Registry dates
- Enumerated
- 2023-01-26
- Last updated
- 2023-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.