Individual
MICHAEL PAUL BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1000 GREG KRUSCHEK AVE, NOME, AK 98762
(907) 443-4513
Mailing address
2049 N D ST, FREMONT, NE 68025-3031
(402) 719-7508
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2739
AK
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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