MR. Phillip Wayne Blaich, PA-C
NPI #1861458424 in Maxwell Afb, Alabama
Provider Information
- NPI Number
- 1861458424
- Entity Type
- Individual
- Name
- MR. Phillip Wayne Blaich, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Apr 24, 2006
- Last Updated
- Dec 10, 2021
Practice Location
- Address
- 300 TWINING ST BLDG 760
- City
- Maxwell Afb
- State
- Alabama
- ZIP Code
- 36112-6027
- Phone
- (334) 953-8607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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