Organization
BLAIR ORTHOPEDIC ASSOCIATES, INC
Active
Other names
Blair Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA PORT M.D. (PRESIDENT)
(814) 942-1166
Entity
Organization
Contact information
Practice address
121 JUNE DR, ROARING SPRING, PA 16673-1209
(814) 942-1166
(814) 942-6222
Mailing address
3000 FAIRWAY DR, ALTOONA, PA 16602-4472
(814) 942-1166
(814) 942-6222
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
OS014338
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
OS015190
PA
207X00000X
Orthopaedic Surgery Physician
MD042447L
PA
207X00000X
Orthopaedic Surgery Physician
MD430649
PA
207X00000X
Orthopaedic Surgery Physician
OS009814L
PA
207X00000X
Orthopaedic Surgery Physician
Primary
OS010299L
PA
208100000X
Physical Medicine & Rehabilitation Physician
OS015167
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC005969
PA
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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