Blair Medicla Associates

Organization Active NPI Neurology Physician · Altoona, PA

NPI 1104968437 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1104968437
Entity type
Organization (NPI type 2)
Primary specialty
Neurology Physician 2084N0400X
Legal business name
BLAIR MEDICLA ASSOCIATES
Practice address
1414 Ninth Avenue
Blair Medical Associates
Altoona, PA 16602
Phone
(814) 946-1655
Fax
(814) 949-7616
NPI assigned
Feb 13, 2007
Organization subpart
No

Authorized official

Name
Jennifer L. Bryan
Title
Projects MGR.
Phone
(814) 949-7621

Corporate family (same tax ID) 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

National Provider Directory

Tax ID family
Blair Med Assoc Pat (30 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2084N0400X Yes

Addresses

Primary practice location

1414 Ninth Avenue
Blair Medical Associates
Altoona, PA 16602

Mailing address

1414 Ninth Avenue
Blair Medical Associates
Altoona, PA 16602
Phone (814) 946-1655

Other identifiers

IdentifierTypeStateIssuer
1014409OtherPAGATEWAY NEURO SPECIALITY

Other providers in Altoona, PA

All providers in Altoona, PA · Neurology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.