Individual
MR. JONATHAN DAVID BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Mailing address
904 E 13TH ST N, NEWTON, IA 50208-2349
(515) 850-9416
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
114836
IA
163WC0400X
Case Management Registered Nurse
Primary
114836
IA
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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