Individual
JAMES A BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
104 TECHNOLOGY DR, SUITE 103, BUTLER, PA 16001-1801
(724) 482-4192
(724) 482-4859
Mailing address
104 TECHNOLOGY DR, SUITE 103, BUTLER, PA 16001-1801
(724) 482-4192
(724) 482-4859
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC001648L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001468255
—
PA
01
—
1538155494
NPI
PA
Enumeration date
09/26/2005
Last updated
09/09/2011
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