BLAKE D. ALEXANDER, MD PC
Osteopathic Medicine at Standiford Ave, Modesto, CA

License number
California C52849
Category
Osteopathic Medicine
Type
Dermatology
License number
California C52849
Category
Osteopathic Medicine
Type
MOHS-Micrographic Surgery
Owner
Name: BLAKE D. ALEXANDER M.D.
Title: OWNER
Phone: (209) 578-5072
Address
Address
1101 Standiford Ave SUITE A-3, Modesto, CA 95350
National Provider ID: 1447588280
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BLAKE D. ALEXANDER, MD PC

Modesto, CA

Industry:
Medical Doctor's Office
Registration:
Oct 30, 2009
Addresses:
3301 Fallen Oak Ct, Modesto, CA 95355 (Physical)
1905 Lakeview Ct, Modesto, CA 95355
State ID:
C3114832
Business type:
Articles of Incorporation
President:
Blake Daniel Alexander (President)

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