Blair, Mark A

Blair, Mark A is an sole proprietor health care provider with primary practice located at 12251 N 32Nd St , Phoenix AZ 85032-7189. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Blair, Mark A can be contacted via phone (602) 971-0950.

Contact Information

Primary practice address
12251 N 32Nd St Phoenix AZ 85032-7189
Fax: (602) 992-4971
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 32353 Arizona

Profile Details

NPI number 1649226705
LBN Legal business name Blair, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated May 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649226705 NPPES
Arizona Other P00191312 RAIL ROAD MEDICARE
Arizona Other 32353 RAIL ROAD MEDICARE

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