Individual
TARLTON J BLAIR
Active
Individual
TARLTON J BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
1731971205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107006675102
IHC
UT
01
—
36-00170
UNITED HEALTHCARE
UT
01
—
36531
DMBA
UT
01
—
62165
PEHP
UT
05
—
870281028000
—
UT
01
—
870281028BTJ
EMIA
UT
01
—
920006303
PALMETTO
UT
01
—
QM0000042299
ALTIUS
UT
Enumeration date
09/02/2006
Last updated
03/20/2014
Update your record
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