BENJAMIN BLAKE PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1053806539- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 2600 OTTAWA RD, NEODESHA, KS, 667571897
- Phone
- (620) 325-2611
- Fax
- (620) 325-8453
Specialties & Taxonomies
Physician Assistant
Primary #15-02102