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Contact Information

BLAKE D ALEXANDER, MD
1101 STANDIFORD AVE
SUITE A-3
MODESTO, CA95350-0982
 Phone: 209-578-5072
 Fax: 209-578-5292
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for BLAKE D ALEXANDER · (Male)

NPI Number 1033132170
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2006
Last updated 09/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C52849
  • CA Other ZZZ48224Z MEDICARE IDENTIFICATION #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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