Organization
RETINA ASSOCIATES OF MISSOURI, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY R BLAIR M.D. (PRESIDENT)
(573) 874-1616
Entity
Organization
Contact information
Practice address
3600 AMRON CT, COLUMBIA, MO 65202-1918
(573) 874-1616
(573) 875-0300
Mailing address
3600 AMRON CT, COLUMBIA, MO 65202-1918
(573) 874-1616
(573) 875-0300
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD108058
MO
Other
Enumeration date
11/30/2005
Last updated
12/03/2020
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