# EDDIE BLAY JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174935217
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 036170087 | IL | — |
| 208600000X | Surgery Physician | 43923-20 | WI | — |
| 208600000X | Surgery Physician | 67923 | TN | — |
| 208600000X | Surgery Physician | V8108 | TX | — |
| 2086S0102X | Surgical Critical Care Physician | 036170087 | IL | — |
| 2086S0102X | Surgical Critical Care Physician | 2024010643 | MO | — |
| 2086S0102X | Surgical Critical Care Physician | 43923-20 | WI | — |
| 2086S0102X | Surgical Critical Care Physician | V8108 | TX | Yes |

## Other

- **Enumeration date:** 05/23/2014
- **Last updated:** 08/14/2025