Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Phillip Wayne Blaich, PA-C

Individual provider Medical Physician Assistant · NPI 1861458424

Mr. Phillip Wayne Blaich, PA-C is a Medical Physician Assistant in Maxwell AFB, Alabama. Licensed in Florida and Illinois. Registered with an NPI since 2006.

Licensed in
FL, IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

300 Twining St Bldg 760
Maxwell AFB, AL 36112-6027
Phone: (334) 953-8607
Fax: (850) 747-2222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9103668 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085003348 (IL)

Record details

NPI number1861458424
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 24, 2006
Last updated in NPPESDecember 10, 2021
Certification dateDecember 10, 2021

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