Individual
BLAKE BLOXHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
GEISINGER MEDICAL CTR, 100 NORTH ACADEMY AVENUE, DANVILLE, PA 17822-0001
(570) 271-6211
Mailing address
1121 N 44TH ST APT 2067, PHOENIX, AZ 85008-5714
(714) 293-0013
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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