SearchArizona363AS0400X

Daniel Blake, SURGICAL FIRST ASST

NPI 1750390803 · on the registry since 2006 · sole proprietor

Practice

Address
1839 E Enrose St
Mesa, AZ 85203
Phone
(480) 220-8496

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-16

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 Arizona