Individual
MR. BLAIR MICHAEL BOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2207 TIMBERBROOK LN, MIDWAY PARK, NC 28544-1654
(619) 495-6235
Mailing address
2207 TIMBERBROOK LN, MIDWAY PARK, NC 28544-1654
(619) 495-6235
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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