OrganizationActive
Blake D. Alexander, MD, PA
NPI 1366626483 · Dermatology Physician · Pocatello, ID
Provider details
- NPI number
- 1366626483
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Blake Alexander, President(208) 236-1600
- License
- M8227 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
500 S 11th Ave
Suite 203
Pocatello, ID 83201-4835
Phone: (208) 236-1600
Fax: (208) 236-6695
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4908
Pocatello, ID 83205-4908
Registry dates
- Enumerated
- 2007-12-26
- Last updated
- 2007-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.