Organization
KEITH BLAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH DAVID BLAIR MD (MD)
(419) 562-7676
Entity
Organization
Contact information
Practice address
725 N SANDUSKY AVE, BUCYRUS, OH 44820-1463
(419) 562-7676
(419) 562-8469
Mailing address
725 N SANDUSKY AVE, BUCYRUS, OH 44820-1463
(419) 562-7676
(419) 562-8469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35037333B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246335
—
OH
Enumeration date
12/13/2007
Last updated
12/06/2012
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