| Blair Medicla Associates | |
|
1414 Ninth Avenue Blair Medical Associates Altoona PA 16602 | |
| (814) 946-1655 | |
| (814) 949-7616 |
| Full Name | Blair Medicla Associates |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1414 Ninth Avenue, Altoona, Pennsylvania |
| Authorized Official Name and Position | Jennifer L. Bryan (PROJECTS MGR.) |
| Authorized Official Contact | 8149497621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blair Medicla Associates 1414 Ninth Avenue Blair Medical Associates Altoona PA 16602 Ph: (814) 946-1655 | Blair Medicla Associates 1414 Ninth Avenue Blair Medical Associates Altoona PA 16602 Ph: (814) 946-1655 |
| NPI Number | 1104968437 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104968437 | NPI | - | NPPES |
| 1014409 | Other | PA | GATEWAY NEURO SPECIALITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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