Individual
DR. AMANDA BOCK BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-3901
(336) 716-4085
(336) 716-3010
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
2022-02207
NC
2080P0207X
Pediatric Hematology & Oncology Physician
60612887
WA
2080P0207X
Pediatric Hematology & Oncology Physician
N6181
TX
Other
Enumeration date
04/23/2007
Last updated
03/24/2023
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