Individual
DANIEL BLAIR
Active
Individual
DANIEL BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, FACP
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81656
GA
208D00000X
General Practice Physician
0102204947
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102204947
VIRGINIA BOARD OF MEDICINE FOR GENERAL PRACTITIONER
VA
Enumeration date
12/11/2015
Last updated
04/14/2024
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