Kevin Dean Blair OD

NPI 1023087525 - Optometrist - 152W00000X

NPI Details
NPI 1023087525
Gender Male
Enumeration Date 03/16/2006
Last Updated 12/07/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2330 HERITAGE WAY SE
ALBANY OR, 97322-8600, US
Phone (541) 926-6077
Fax (541) 926-0605
Business Location
2330 HERITAGE WAY SE
ALBANY OR, 97322-8600, US
Phone (541) 926-6077
Fax (541) 926-0605
Toxanomy
Taxonomy Code 152W00000X
License State Oregon
License Number 2396AT
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According to our database, Dr. Kevin Dean Blair OD NPI is 1023087525, taxonomy code is 152W00000X and license number is 2396AT, license state is located at Oregon. Kevin Dean Blair OD physically located at 2330 Heritage Way Se, Albany OR, 97322-8600. NPI Number Kevin Dean Blair OD has the Individual type.

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1023087525 NPI number is provided on an as is basis without warranty of any kind. 1023087525 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Dean Blair OD are for informational purposes only.