Individual
BLAIR T HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MEDICAL PARK DR, SUITE 205, DOVER, OH 44622-2073
(330) 364-4600
(330) 364-3338
Mailing address
300 MEDICAL PARK DR, SUITE 205, DOVER, OH 44622-2073
(330) 364-4600
(330) 364-3338
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
55408
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0667569
—
OH
Enumeration date
06/23/2006
Last updated
02/24/2015
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