Organization
BLAIR MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L BRYAN (ADMINSTRATION)
(814) 949-7621
Entity
Organization
Contact information
Practice address
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602-2415
(814) 946-1655
(814) 949-7616
Mailing address
BLAIR MEDICAL ASSOCIATES, 1414 NINTH AVENUE, ALTOONA, PA 16602
(814) 946-1655
(814) 949-7616
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS007440L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1583490
BLS AND PREMIERE
PA
Enumeration date
06/26/2006
Last updated
07/02/2008
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