Individual
DR. BLAIR T STOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 N STATE ST, GREENFIELD, IN 46140-1270
(317) 871-8261
(317) 870-0499
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 871-8261
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01063771A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000545802
ANTHEM
IN
05
—
200866660
—
IN
01
—
P00659861
RAILROAD MEDICARE
IN
Enumeration date
05/17/2007
Last updated
02/17/2009
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