Individual
BLAKE PHILLIP DREIHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-3705
(559) 459-3720
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
58389
CA
363AS0400X
Surgical Physician Assistant
Primary
58389
CA
Other
Enumeration date
05/27/2020
Last updated
08/14/2020
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