Dr ANDRE A BLAKE PA is a male medical professional, specializing in Physician Assistant. He graduated in 2002.
BEAVER MEDICAL GROUP, L.P.
259 TERRACINA BLVD
REDLANDS
CA
923734847
Tel: 9097932634
| Npi | 1588655682 |
| Pac Id | 2769434042 |
| Professional Enrollment Id | I20050215000503 |
| Last Name | BLAKE |
| First Name | ANDRE |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | BEAVER MEDICAL GROUP, L.P. |
| Group Practice Pac Id | 0547164295 |
| Number Of Group Practice Members | 279 |
| Line 1 Street Address | 259 TERRACINA BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | REDLANDS |
| State | CA |
| Zip Code | 923734847 |
| Phone Number | 9097932634 |
| Hospital Affiliation Ccn 1 | 050272 |
| Hospital Affiliation Lbn 1 | REDLANDS COMMUNITY HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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