Individual
ANN WALLACE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10410 RIDGEFIELD PKWY, RICHMOND, VA 23233-3500
(804) 754-3776
(804) 754-2365
Mailing address
10410 RIDGEFIELD PKWY, RICHMOND, VA 23233-3500
(804) 754-3776
(804) 754-0880
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110006803
VA
Other
Enumeration date
08/15/2019
Last updated
10/01/2024
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