Individual
HEATHER ANN BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
122 S 77TH ST, OMAHA, NE 68114-4577
(402) 934-4535
(402) 934-5939
Mailing address
122 S 77TH ST, OMAHA, NE 68114-4577
(402) 934-4535
(402) 934-5939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
085.004864
IL
207Q00000X
Family Medicine Physician
1982
NE
Other
Enumeration date
11/15/2013
Last updated
07/07/2021
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