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Search › California › Surgical Physician Assistant

Andre Blake, P.A

NPI 1588655682 · on the registry since 2005

Practice

Address
2 W Fern Ave
Redlands, CA 92373
Phone
(909) 793-3311
Fax
(909) 335-4190
Organisation at this address
Lite-Weighs, Llc
Unilab Corporation
Beaver Medical Group Lp
Beaver Medical Group P C
Beaver Medical Group P C
Inferred from a shared address, not stated in the registry.
Clinicians at this address
169

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California