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Individual

DR. BRYAN M BLAIR

Active
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Individual

DR. BRYAN M BLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35792
KY
207W00000X
Ophthalmology Physician
BB6817196
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1177630003
MEDICARE DME MAC
KY
05
300050706
IN
05
64066624
KY
01
P00041810
MEDICARE RAILROAD
KY
Enumeration date
10/12/2005
Last updated
06/10/2021
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