Individual
MR. JOHN T BLAIR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 EAST BUSINESS HIGHWAY 60, DEXTER, MO 63841
(573) 624-7575
Mailing address
PO BOX 368, DEXTER, MO 63841-0368
(573) 624-3165
(573) 624-3157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8B92
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143321
BCBS
MO
01
—
263891
HEALTHLINK
MO
Enumeration date
04/20/2006
Last updated
07/08/2007
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