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Organization
RETINA ASSOCIATES OF MID MISSOURI, LLC
Active
Organization
RETINA ASSOCIATES OF MID MISSOURI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY R BLAIR MD, PHD (PHYSICIAN)
(573) 874-1616
Entity
Organization
Contact information
Practice address
11501 E VEMERS FORD RD, COLUMBIA, MO 65201-7465
(573) 228-0959
Mailing address
11501 E VEMERS FORD RD, COLUMBIA, MO 65201-7465
(573) 228-0959
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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