Individual
ABBEY BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3951
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1000496
NC
363AM0700X
Medical Physician Assistant
Primary
50-002918
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067722
—
OH
01
—
191432
MEDCOST
—
01
—
7736853
AETNA
—
Enumeration date
09/11/2006
Last updated
01/13/2021
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