Individual
BLAIR S DINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
1115 RONALD REAGAN PKWY STE 266, AVON, IN 46123-6911
(317) 217-2500
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01082329A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/05/2015
Last updated
01/25/2022
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