Individual
COLTON WARNER BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
611 6TH ST, PROSSER, WA 99350-1436
(509) 786-7001
(509) 786-7763
Mailing address
611 6TH ST, PROSSER, WA 99350-1436
(509) 786-7001
(509) 786-7763
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60299741
WA
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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