Individual
DAVID J BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
561 W CENTRAL AVE STE CBO, ATTN: HEATHER HAINEY, DELAWARE, OH 43015-1410
(740) 615-1349
(740) 615-1344
Mailing address
# L-3401, COLUMBUS, OH 43260-3401
(740) 615-1349
(740) 615-1344
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
363992
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.12043-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3103055
—
OH
Enumeration date
11/15/2010
Last updated
01/25/2022
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