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DANIEL STEPHEN BLAKE SURGICAL FIRST ASST
NPI 1750390803
Physician Assistant - Surgical in Mesa, AZ

Active since August 07, 2006
1839 E ENROSE ST, MESA, AZ 85203(480) 220-8496 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daniel Stephen Blake Surgical First Asst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL STEPHEN BLAKE SURGICAL FIRST ASST (NPI 1750390803) is an individual surgical provider in Mesa, Arizona, licensed in Arizona (F01309) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1750390803
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDANIEL STEPHEN BLAKECredential: SURGICAL FIRST ASST
Location Address1839 E ENROSE STMesa, AZ 85203-5822
Mailing Address1839 E Enrose StMesa, AZ 85203-5822 · (480) 220-8496
Phone(480) 220-8496
Sole ProprietorYes
Enumeration DateAugust 7, 2006
Last NPPES UpdateSeptember 16, 2019
✔ NPI 1750390803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AZ · F01309
1839 E ENROSE ST, Mesa, AZ 85203
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Blake's NPI number?

The NPI number for Daniel Blake is 1750390803. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Daniel Blake located?

Daniel Blake practices at 1839 E Enrose St, Mesa, AZ 85203. The listed phone number is (480) 220-8496.

What is Daniel Blake's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Daniel Blake was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.