# KEITH BLAIR

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

## Provider details

- **NPI number:** 1861675746
- **Authorized official:** DR. KEITH DAVID BLAIR MD (MD)
- **Authorized official phone:** (419) 562-7676

## Contact information

- **Practice address:** 725 N SANDUSKY AVE, BUCYRUS, OH 44820-1463
- **Practice address phone:** (419) 562-7676
- **Practice address fax:** (419) 562-8469
- **Mailing address:** 725 N SANDUSKY AVE, BUCYRUS, OH 44820-1463
- **Mailing address phone:** (419) 562-7676
- **Mailing address fax:** (419) 562-8469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35037333B | OH | Yes |

## Other

- **Enumeration date:** 12/13/2007
- **Last updated:** 12/06/2012