Individual
RYAN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3101 LATHROP ST, FAIRBANKS, AK 99701-7426
(907) 453-4700
Mailing address
3101 LATHROP ST, FAIRBANKS, AK 99701-7426
(907) 453-4700
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
AK
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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