Individual
SHAWN MICHAEL BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9 MANHATTAN SQUARE, SUITE A, HAMPTON, VA 23666
(757) 838-6335
(757) 838-0612
Mailing address
85 MEREDITH WAY, NEWPORT NEWS, VA 23606-1180
(757) 930-0409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001382
VA
Other
Enumeration date
01/24/2006
Last updated
11/02/2011
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