Organization
JOHN M. BLAIR, MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M BLAIR JR. M.D. (PHYSICIAN)
(253) 383-1274
Entity
Organization
Contact information
Practice address
1515 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3933
(253) 383-1274
(253) 272-2642
Mailing address
1515 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3933
(253) 383-1274
(253) 272-2642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00034543
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1105964
—
WA
Enumeration date
01/10/2007
Last updated
08/22/2020
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