Dr ALICE P BLAKE is a female medical professional, specializing in Internal Medicine. She graduated in 1985 from State University Of New York Downstate Medical Center.
222 N 2ND ST
304 BOISE FAMILY PRACTICE
BOISE
ID
837026131
Tel:
| Npi | 1508805078 |
| Pac Id | 1254493372 |
| Professional Enrollment Id | I20081229000055 |
| Last Name | BLAKE |
| First Name | ALICE |
| Middle Name | P |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | PEDIATRIC MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | PEDIATRIC MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 222 N 2ND ST |
| Line 2 Street Address | 304 BOISE FAMILY PRACTICE |
| Marker Of Address Line 2 Suppression | |
| City | BOISE |
| State | ID |
| Zip Code | 837026131 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 130006 |
| Hospital Affiliation Lbn 1 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130007 |
| Hospital Affiliation Lbn 2 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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