Search › Alaska › 363AM0700X
Richard Blake, PA-C
NPI 1740235829 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3600 E Wickersham Way
Wasilla, AK 99654 - Phone
- (907) 373-5950
- Fax
- (907) 373-5954
- Organisation at this address
- Otto Inc
Cottonwood Creek Clinic Llc
Diagnostic Health Center Of Anchorage, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
363AM0700X - Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-07
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 Alaska