Blair Regenerative Medicine LLC
NPI #1649882275 in Everett, Pennsylvania
Provider Information
- NPI Number
- 1649882275
- Entity Type
- Organization
- Organization Name
- Blair Regenerative Medicine LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 17, 2020
- Last Updated
- Aug 17, 2020
Practice Location
- Address
- 201 HOSPITAL DR STE 2
- City
- Everett
- State
- Pennsylvania
- ZIP Code
- 15537-7019
- Phone
- (814) 623-5592
Authorized Official
- Name
- DARRYL KEEF WARNER
- Title
- AUTHORIZED OFFICIAL
- Phone
- (814) 623-5592
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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