Individual
MR. MATTHEW BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
400 MATTHEW ST STE 302, MARIETTA, OH 45750-1656
(740) 568-5207
(740) 434-0578
Mailing address
5160 W 86TH PL, CROWN POINT, IN 46307-1608
(219) 213-5668
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
07/18/2025
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