SAL BLAKE PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1962981084- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 2211 MAYFAIR DR STE 102, OWENSBORO, KY, 42301
- Phone
- (270) 688-1351
- Fax
- (270) 683-3420
Specialties & Taxonomies
Physician Assistant
Primary License: KY #TC733