# TIM BLAIR MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780924555
- **Authorized official:** TIMOTHY J BLAIR M.D. (MEMBER)
- **Authorized official phone:** (319) 293-7771

## Contact information

- **Practice address:** 701 BROAD STREET, SUITE 2, KEOSAUQUA, IA 52565-8374
- **Practice address phone:** (319) 293-7771
- **Practice address fax:** (866) 894-9687
- **Mailing address:** PO BOX 7, 701 BROAD STREET SUITE 2, KEOSAUQUA, IA 52565-8374
- **Mailing address phone:** (319) 293-7771
- **Mailing address fax:** (866) 894-9687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 27840 | IA | Yes |

## Other

- **Enumeration date:** 02/15/2013
- **Last updated:** 02/15/2013