Individual
AMBER DAWN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6693 N CHESTNUT ST STE 125A, RAVENNA, OH 44266-3900
(330) 296-2879
(330) 296-4656
Mailing address
6693 N CHESTNUT ST STE 125A, RAVENNA, OH 44266-3900
(330) 296-2879
(330) 296-4656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35087337
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2650493
—
OH
Enumeration date
05/05/2006
Last updated
02/02/2011
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