Individual
SCOTT D BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3434 W BROADWAY, COUNCIL BLUFFS, IA 51501-3291
(712) 325-0022
(712) 325-8102
Mailing address
3434 W BROADWAY, COUNCIL BLUFFS, IA 51501-3291
(712) 325-0022
(712) 325-8102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25010
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100253
UNITED HEALTH CARE
—
05
—
1034330
—
IA
01
—
21071
COVENTRY
—
01
—
24684
WELLMARK
IA
Enumeration date
11/16/2006
Last updated
07/08/2007
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