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BLAKE B BECHTLE PA-C

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1386356657
Provider Type
Individual Provider (NPI-1)
Credentials
PA-C
Status
Active

Contact & Location

Address
9850 W ST LUKES DR STE 129, NAMPA, ID, 836877912
Phone
(208) 205-7600
Fax
(208) 205-7603

Specialties & Taxonomies

Physician Assistant Primary License: ID #PA2489

All Addresses

MAILING

190 E BANNOCK ST

BOISE, ID, 837126241

LOCATION

9850 W ST LUKES DR STE 129

NAMPA, ID, 836877912

(208) 205-7600