Organization
BLAIR GASTROENTEROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH D MCKIBBIN M.D. (SHAREHOLDER)
(814) 946-5469
Entity
Organization
Contact information
Practice address
810 VALLEY VIEW BLVD, ALTOONA, PA 16602-6342
(814) 946-5469
(814) 946-4970
Mailing address
810 VALLEY VIEW BLVD, ALTOONA, PA 16602-6342
(814) 946-5469
(814) 946-4970
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
MD439868
PA
Other
Enumeration date
06/25/2006
Last updated
06/16/2016
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