Individual
JAMES READ BLAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 N SHERMAN AVE, SUITE 208, SPRINGFIELD, MO 65802-3757
(417) 866-3133
(417) 866-3233
Mailing address
1355 E CRYSTAL HILL LANE, SPRINGFIELD, MO 65803
(417) 833-3831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7631
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200482032
—
MO
Enumeration date
10/02/2006
Last updated
07/19/2013
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