HomeNPI Verification

NPI Verification

National Provider Identifier: 1508805078

Alice P Blake

Individual Provider

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Primary

Pediatrics

Code: 208000000X

Practice Address

222 N 2ND ST STE 304

BOISE, ID 837026131

Phone: 208-342-7722

NPI Enumeration Date

June 6, 2006

NPI Number

1508805078

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry