| Blair Neurologic Associates | |
|
914 S 12th St Altoona PA 16602-6247 | |
| (814) 201-2309 | |
| (814) 301-2389 |
| Full Name | Blair Neurologic Associates |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 914 S 12th St, Altoona, Pennsylvania |
| Authorized Official Name and Position | Laurence Alan Primack (PRESIDENT) |
| Authorized Official Contact | 8142012309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blair Neurologic Associates 914 S 12th St Altoona PA 16602-6247 Ph: (814) 201-2309 | Blair Neurologic Associates 914 S 12th St Altoona PA 16602-6247 Ph: (814) 201-2309 |
| NPI Number | 1952319063 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 09/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952319063 | NPI | - | NPPES |
| 0019607820001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD038175E (Pennsylvania) | Primary |
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