Organization
BLAIR COUNTY PLASTIC SURGERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRIAN LOUTON MD (OWNER)
(814) 949-7280
Entity
Organization
Contact information
Practice address
601 HAWTHORNE DR, SUITE 100, HOLLIDAYSBURG, PA 16648
(814) 949-7280
(814) 949-7283
Mailing address
601 HAWTHORNE DR, SUITE 100, HOLLIDAYSBURG, PA 16648
(814) 949-7280
(814) 949-7283
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD045155E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011873520001
—
PA
01
—
240002639
MEDICARE PALMETTO
PA
01
—
E83543
PREFERRED HEALTH CARE
PA
Enumeration date
01/23/2006
Last updated
12/04/2024
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