Individual
PHILIP BENJAMIN BLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16 PLEASANT HILL RD, HARRISONBURG, VA 22801-5709
(757) 704-4845
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0019004815
VA
Other
Enumeration date
07/08/2022
Last updated
09/16/2024
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