Mr. Blake Daniel Alexander
Dermatologist MOHS-Micrographic Surgeon
1101 Standiford Ave Suite A-3
Modesto
, California 95350-0982
Mr. Blake Daniel Alexander
Dermatologist MOHS-Micrographic Surgeon
1101 Standiford Ave Suite A-3
Modesto
, California 95350-0982
(209) 578-5292
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Mr. Blake Daniel Alexander
- 1101 Standiford Ave Suite A-3
- Modesto, CA
- Zip : 95350-0982
- Fax : (209) 578-5292
- Phone : (209) 578-5072
Second Address
- Mr. Blake Daniel Alexander
- 1101 Standiford Ave Suite A-3
- Modesto, CA
- Zip : 95350-0982
- Fax : (209) 578-5292
- Phone : (209) 578-5072
Reviews
FAQs
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What type of doctor is Mr. Blake Daniel Alexander
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Where is Mr. Blake Daniel Alexander ’s practice located?
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Is Mr. Blake Daniel Alexander a sole practitioner?
Is Mr. Blake Daniel Alexander accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | C52849 | CA |
| N | 207ND0101X | MOHS-Micrographic Surgeon | C52849 | CA |
National Provider Identifier
| NPI | 1033132170 |
|---|---|
| Provider Name | Mr. Blake Daniel Alexander |
| First Address | Modesto, CA 95350-0982 |
| Second Address | Modesto, CA 95350-0982 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 03/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| ZZZ48224Z | MEDICARE IDENTIFICATION # (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.