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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
620 HOWARD AVE, OP-4, ALTOONA, PA 16601-4804
(814) 889-2708
(814) 889-7926
Mailing address
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2415
(814) 946-1655
(814) 949-7616
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/14/2007
Last updated
08/08/2007
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