Doctor Name: | DONNA J BLAIR |
NPI Number: | 1023051059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 01037203A |
Business Practice Address: | 1 Caylor Nickel Sq Bluffton, IN - 467142529 |
Business Phone Number: | 2608243500 |
Business Fax Number: | 2609193419 |
Mailing Address: | 1 Caylor Nickel Sq, BLUFFTON |
State: | IN |
Postal Code: | 467142529 |
Phone Number: | 2608243500 |
Fax Number: | 2609193419 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 10/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 01037203A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |