IndividualActive
Alex Blake, CSFA
NPI 1710348701 · Surgical Physician Assistant · Blanchester, OH
Provider details
- NPI number
- 1710348701
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CSFA
- Sex
- Male
- Sole proprietor
- No
- License
- 157559 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10743 S State Route 133
Blanchester, OH 45107-9435
Phone: (937) 728-9782
Approximate (ZIP-level) locationGet directions
Mailing address
7777 Yankee Rd
Liberty Township, OH 45044-3500
Registry dates
- Enumerated
- 2016-03-17
- Last updated
- 2016-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.