Herbert Alden Blake OD

NPI 1003835539 - Optometrist - 152W00000X

NPI Details
NPI 1003835539
Gender Male
Enumeration Date 07/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
TACOMA WA, 98431-0001, US
Phone (253) 968-2790
Fax (253) 968-4677
Business Location
12914 130TH AVENUE CT E
PUYALLUP WA, 98374-4825, US
Phone (253) 840-0780
Taxonomy Code 152W00000X
License State Washington
License Number 953
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According to our database, Dr. Herbert Alden Blake OD NPI is 1003835539, taxonomy code is 152W00000X and license number is 953, license state is located at Washington. Herbert Alden Blake OD physically located at Optometry Clinic, Tacoma WA, 98431-0001. NPI Number Herbert Alden Blake OD has the Individual type.

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1003835539 NPI number is provided on an as is basis without warranty of any kind. 1003835539 is maintained by the National Plan & Provider Enumeration System. The contents of Herbert Alden Blake OD are for informational purposes only.