Individual
DR. PHILIP WILLIAM BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
237 MICHNER ST SW, CASTLE ROCK, WA 98611-9612
(360) 635-0126
Mailing address
237 MICHNER ST SW, CASTLE ROCK, WA 98611-9612
(360) 635-0126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00034198
WA
Other
Enumeration date
06/13/2008
Last updated
01/14/2021
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