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Organization
BLAIR MEDICAL ASSOCIATES
Active
Organization
BLAIR MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L. BRYAN (PROJECTS MGR.)
(814) 949-7621
Entity
Organization
Contact information
Practice address
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2415
(814) 949-7621
(814) 949-7616
Mailing address
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2415
(814) 949-7621
(814) 949-7616
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008222080014
DR. MANIGLIA'S MA PROVIDER NUMBER (18TH ST. OLD OFFICE)
PA
01
—
0011392930016
DR. MEXTORF MA NUMBER FOR ALTOONA
PA
01
—
0011895710004
PEDIATRICS GROUP MA NUMBER
PA
01
—
0014172930011
DR. FLORES' MA NUMBER FOR ALTOONA
PA
05
—
0014787610002
—
PA
01
—
0015864460004
MA NUMBER FOR DR. SCHLECHTER ALTOONA OFFICE
PA
05
—
1007393100001
—
PA
05
—
10073931000102
—
PA
05
—
1007393100018
—
PA
01
—
1007393100021
ALTOONA MA GROUP NUMBER (OLD-UNION AVE OFFICE)
PA
05
—
1007393100022
—
PA
05
—
1007393100101
—
PA
01
—
1014409
GATEWAY NEUROLOGY NUMBER
PA
01
—
1015340
GATEWAY IM NUMBER
PA
01
—
1015349
GATEWAY FP NUMBER
PA
01
—
1015429
GATEWAY PODIATRY NUMBER
PA
01
—
1015438
GATEWAY SURG. NUMBER
PA
01
—
1015582
GATEWAY ENDO NUMBER
PA
01
—
1015584
GATEWAY DERM NUMBER
PA
01
—
1019546
GATEWAY PEDS NUMBER
PA
01
—
1556762
GATEWAY OB GYN NUMBER
PA
Enumeration date
02/14/2007
Last updated
04/28/2008
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