Most Relevant Information
Provider Data
| NPI Number: | 1003578667 |
| Provider Name: | ANDREA BLAKEMORE |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | MA065223 |
Most Important Dates
| Enumeration Date: | 10/12/2021 |
| Last Updated: | 11/22/2023 |
Provider Practice Location
12311 PERRY HWY
WEXFORD
PA
150908344
Practice Location Phone/Fax
| Phone: | 8776606777 |
| Fax: | 4123598055 |
Provider Mailing Location
4 ALLEGHENY CTR FL 7
PITTSBURGH
PA
152125255
Provider Mailing Phone/Fax
| Phone: | 4123304461 |
| Fax: | 4123305844 |