Organization
ALTOONA OPHTHALMOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M BUDD MD (PRESIDENT)
(814) 946-0821
Entity
Organization
Contact information
Practice address
600 E PLEASANT VALLEY BLVD, ALTOONA, PA 16602-5530
(814) 946-0821
(814) 941-2520
Mailing address
600 E PLEASANT VALLEY BLVD, ALTOONA, PA 16602-5530
(814) 946-0821
(814) 941-2520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014595230004
—
PA
01
—
1007193
GATEWAY
PA
01
—
637848
BLUE SHIELD
PA
Enumeration date
06/06/2006
Last updated
01/03/2012
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