| Doctor Name: | HEIDI J BLAIR |
| NPI Number: | 1144472705 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 0110002040 |
| Business Practice Address: | 211 Temple Ave Colonial Heights, VA - 238342827 |
| Business Phone Number: | 8045260107 |
| Business Fax Number: | 8045264466 |
| Mailing Address: | 211 Temple Ave, COLONIAL HEIGHTS |
| State: | VA |
| Postal Code: | 238342827 |
| Phone Number: | 8045260107 |
| Fax Number: | 8045264466 |
| NPI Enumeration Date: | 10/15/2008 |
| NPI Last Update Date: | 07/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 0110002040 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |