Individual
SARA BRANSFORD BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
904 AUTUMN RD STE 200, LITTLE ROCK, AR 72211-3741
(501) 227-6363
Mailing address
904 AUTUMN RD STE 200, LITTLE ROCK, AR 72211-3741
(501) 227-6363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-9669
AR
208000000X
Pediatrics Physician
E-9669
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214696001
—
AR
Enumeration date
04/20/2012
Last updated
05/31/2022
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