Individual provider · Type 1 NPI
Phillip Wayne Blaich, PA-C
Medical Physician Assistant · Maxwell Afb, AL
NPI number
1861458424
Active
Practice location
300 Twining St Bldg 760
Maxwell Afb, AL 36112-6027
Fax (850) 747-2222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085003348 (IL) |
| Medical Physician Assistant Primary | 363AM0700X | PA9103668 (FL) |
Medical Physician Assistant: Definition to come...
97 other providers at this address
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- Anastasia McKoy, WHNP-BCWomen's Health Nurse Practitioner Maxwell Afb, AL NPI 1730581216
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About NPI 1861458424
Phillip Wayne Blaich, PA-C's National Provider Identifier is 1861458424, issued on Apr 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Maxwell Afb, AL. The record was last updated on Dec 10, 2021.