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Individual

DR. BRIAN HEATH BLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2263 HWY 65 N, MARSHALL, AR 72650-1266
(870) 448-5733
(870) 448-3392
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
(870) 856-2100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2463
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141682001
AR
01
5L663
BLUE CROSS ARKANSAS
AR
01
5L663B477
MEDICARE PIN
AR
01
P00410272
RAILROAD MEDICARE PIN
AR
Enumeration date
10/26/2005
Last updated
10/07/2025
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