Maryellen Blevins, PA

NPI #1104937945 in Carthage, New York

Provider Information

NPI Number: 1104937945
Entity Type: Individual
Name: Maryellen Blevins, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 31, 2006
Last Updated: Feb 17, 2014

Practice Location

Address: 3 BRIDGE ST.
City: Carthage
State: New York
ZIP Code: 13619
Phone: (315) 493-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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