Dr JARED C BLACKMORE is a male medical professional, specializing in Physician Assistant. He graduated in 2011.
PREMIER HEALTH SPECIALISTS INC
900 S DIXIE DR
VANDALIA
OH
453772656
Tel:
| Npi | 1649559014 |
| Pac Id | 6800061508 |
| Professional Enrollment Id | I20111207000899 |
| Last Name | BLACKMORE |
| First Name | JARED |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PREMIER HEALTH SPECIALISTS INC |
| Group Practice Pac Id | 5597708594 |
| Number Of Group Practice Members | 320 |
| Line 1 Street Address | 900 S DIXIE DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | VANDALIA |
| State | OH |
| Zip Code | 453772656 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 360051 |
| Hospital Affiliation Lbn 1 | MIAMI VALLEY HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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