Individual
DR. MARK A BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3811 E BELL RD STE 309, PHOENIX, AZ 85032-2160
(602) 971-0950
(602) 992-4971
Mailing address
PO BOX 650886, DEPT. 41958, DALLAS, TX 75265
(805) 919-0094
(480) 222-0269
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
32353
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32353
ARIZONA LICENSE
AZ
01
—
P00191312
RAIL ROAD MEDICARE
AZ
Enumeration date
05/26/2006
Last updated
05/14/2025
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