Organization
BLAIR REGENERATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL KEEF WARNER DR (OWNER)
(814) 317-5074
Entity
Organization
Contact information
Practice address
1381 PLANK RD STE 102, DUNCANSVILLE, PA 16635-8458
(814) 317-5074
Mailing address
1381 PLANK RD STE 102, DUNCANSVILLE, PA 16635-8458
(814) 317-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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