Individual
WILLIAM BRENT BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1347 S WISCONSIN AVE, CASPER, WY 82609-2936
(307) 234-3047
(307) 234-3897
Mailing address
1347 S WISCONSIN AVE, CASPER, WY 82609-2936
(307) 234-3047
(307) 234-3897
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119089001
—
WY
Enumeration date
06/10/2008
Last updated
06/24/2008
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