Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PHILLIP WAYNE BLAICH, PA-C
ActiveMR. PHILLIP WAYNE BLAICH, PA-C is a Medical Physician Assistant healthcare provider located in MAXWELL AFB, Alabama. NPI 1861458424 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MAXWELL AFB, AL
Registration Details
- NPI Number
- 1861458424
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2006 (20.266001716028 yrs)
- Last Updated
- Dec 10, 2021
- Licenses
-
085003348 (IL)PA9103668 (FL)
Practice Information
- Address
-
300 TWINING ST BLDG 760MAXWELL AFB, AL, 361126027Browse AL providers · Browse ZIP 36112
- Phone
- 3349538607
- Fax
- 8507472222
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in MAXWELL AFB, AL
| Name | Credential | NPI |
|---|---|---|
| LAUREN CANDEE | PA-C | 1720473754 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.