Individual
RUTH ANN BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2037 WEST MAIN, CABOT, AR 72023
(501) 843-4555
(501) 843-7081
Mailing address
PO BOX 1325, CABOT, AR 72023
(501) 843-4555
(501) 843-7081
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E2023
AR
208000000X
Pediatrics Physician
E2023
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136707001
—
AR
Enumeration date
03/30/2006
Last updated
05/08/2017
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