Individual
JASON WELLS BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
(417) 347-9235
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2287
(573) 302-2241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011018940
MO
208M00000X
Hospitalist Physician
Primary
2013022983
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588957750
—
MO
Enumeration date
07/07/2011
Last updated
07/21/2022
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