Organization
BLAIR RENAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCOS A. MANON M.D. (CEO)
(814) 944-2107
Entity
Organization
Contact information
Practice address
501 HOWARD AVE, SUITE D204, ALTOONA, PA 16601-4810
(814) 944-2107
(814) 944-6208
Mailing address
501 HOWARD AVE, SUITE D204, ALTOONA, PA 16601-4810
(814) 944-2107
(814) 944-6208
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
06/09/2014
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