Individual
MR. BLAKE SPURLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 MOWRY AVE STE 222, FREMONT, CA 94538-1605
(510) 818-1160
Mailing address
2500 MOWRY AVE STE 222, FREMONT, CA 94538-1605
(510) 818-1160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA66392
CA
Other
Enumeration date
12/09/2024
Last updated
07/16/2025
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