Edward B Blair JR. M.D.

NPI 1093821605 - Internal Medicine - 207R00000X

NPI Details
NPI 1093821605
Gender Male
Enumeration Date 08/23/2006
Last Updated 01/22/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2 SAINT ANTHONYS WAY
SUITE 205
ALTON IL, 62002-4569, US
Phone (618) 462-2222
Fax (618) 463-5004
Business Location
2 SAINT ANTHONYS WAY
SUITE 205
ALTON IL, 62002-4569, US
Phone (618) 462-2222
Fax (618) 462-1150
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036060205
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According to our database, Dr. Edward B Blair JR. M.D. NPI is 1093821605, taxonomy code is 207R00000X and license number is 036060205, license state is located at Illinois. Edward B Blair JR. M.D. physically located at 2 Saint Anthonys Way, Alton IL, 62002-4569. NPI Number Edward B Blair JR. M.D. has the Individual type.

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1093821605 NPI number is provided on an as is basis without warranty of any kind. 1093821605 is maintained by the National Plan & Provider Enumeration System. The contents of Edward B Blair JR. M.D. are for informational purposes only.