Individual
DR. ASHLEY L BLASKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
408 N STATE OF FRANKLIN RD STE 31A, JOHNSON CITY, TN 37604-6088
(423) 431-4946
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
54938
TN
208000000X
Pediatrics Physician
54938
TN
2080P0216X
Pediatric Rheumatology Physician
Primary
54938
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q043733
—
TN
Enumeration date
04/02/2012
Last updated
06/06/2024
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