Individual
JESSE BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 HOWARD AVE STE F2, SUITE F4, ALTOONA, PA 16601-4818
(814) 889-2020
Mailing address
501 HOWARD AVE STE F2, SUITE F4, ALTOONA, PA 16601-4818
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD461730
PA
Other
Enumeration date
03/31/2014
Last updated
05/24/2021
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