Individual
DR. TIMOTHY JAMES BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 BROAD STREET, SUITE 2, KEOSAUQUA, IA 52565
(319) 293-7771
(866) 894-9687
Mailing address
701 BROAD STREET, SUITE 2 P.O. BOX 7, KEOSAUQUA, IA 52565
(319) 293-7771
(866) 894-9687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27840
IA
Other
Enumeration date
06/29/2006
Last updated
03/15/2012
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