Individual
EARL BLAIR MAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 E BRADFORD PKWY STE A, SPRINGFIELD, MO 65804-6566
(877) 681-2977
(417) 281-0061
Mailing address
1505 E BRADFORD PKWY STE A, SPRINGFIELD, MO 65804-6566
(417) 660-4469
(417) 281-0061
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2006039229
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1256
BLUE
MO
05
—
163434001
—
AR
05
—
204456206
—
MO
01
—
P00397064
RRR MEDICARE
MO
Enumeration date
06/10/2006
Last updated
04/15/2026
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