Individual
DEBORAH BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101040896
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300053708
RR MEDICARE, COMPUTED TOMOGRAPHY ASSOCIATES
DC
01
—
P00123635
RAILROAD MEDICARE
—
Enumeration date
09/26/2006
Last updated
03/25/2013
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