Blair Regenerative Medicine Llc | |
201 Hospital Dr Ste 2 Everett PA 15537-7019 | |
(814) 623-5592 | |
Not Available |
Full Name | Blair Regenerative Medicine Llc |
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Speciality | Family Medicine |
Location | 201 Hospital Dr Ste 2, Everett, Pennsylvania |
Authorized Official Name and Position | Darryl Keef Warner (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 8146235592 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blair Regenerative Medicine Llc 1381 Plank Rd Ste 102 Duncansville PA 16635-8458 Ph: (181) 431-7517 | Blair Regenerative Medicine Llc 201 Hospital Dr Ste 2 Everett PA 15537-7019 Ph: (814) 623-5592 |
NPI Number | 1649882275 |
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Provider Enumeration Date | 08/17/2020 |
Last Update Date | 08/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649882275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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