Individual
TIMOTHY R BLAIR SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
418 WEST MADISON, LIBERTY MEDICAL CENTER CLINIC, CHESTER, MT 59522
(406) 759-5194
(406) 759-5105
Mailing address
P.O. BOX 705, LIBERTY MEDICAL CENTER CLINIC, CHESTER, MT 59522-0705
(406) 759-5194
(406) 759-5105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN0000019516
TN
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-101672
MT
363LF0000X
Family Nurse Practitioner
RN169896
GA
Other
Enumeration date
07/01/2014
Last updated
02/19/2024
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