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Individual
DR. BLAIR ASHTON THEDINGER
Active
Individual
DR. BLAIR ASHTON THEDINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-36367
KS
207Q00000X
Family Medicine Physician
Primary
2013033410
MO
Other
Enumeration date
03/30/2010
Last updated
09/10/2013
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