Organization
TIM BLAIR MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J BLAIR M.D. (MEMBER)
(319) 293-7771
Entity
Organization
Contact information
Practice address
701 BROAD STREET, SUITE 2, KEOSAUQUA, IA 52565-8374
(319) 293-7771
(866) 894-9687
Mailing address
PO BOX 7, 701 BROAD STREET SUITE 2, KEOSAUQUA, IA 52565-8374
(319) 293-7771
(866) 894-9687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27840
IA
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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