Individual
DR. STEPHEN JOSEPH BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 SOUTHBOROUGH DR, SOUTH PORTLAND, ME 04106-3249
(207) 761-1100
(207) 761-3700
Mailing address
400 SOUTHBOROUGH DR, SOUTH PORTLAND, ME 04106-3249
(207) 761-1100
(207) 761-3700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1236
ME
2083X0100X
Occupational Medicine Physician
1236
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00318823
—
ME
Enumeration date
07/12/2006
Last updated
06/27/2016
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