Benjamin Blair, Md Pa in Pocatello - Specialist

Benjamin Blair, Md Pa - NPI 1497883300

Benjamin Blair, Md Pa is a Specialist in Pocatello, Idaho. Benjamin Blair, Md Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Benjamin Blair, Md Pa is 1497883300. The last update date is 2021-09-07.

Benjamin Blair, Md Pa's current location address is 2240 E Center St, Pocatello, Idaho. You can contact this provider via phone number 2082332100 and fax number 2082333146. The mailing address for Benjamin Blair, Md Pa is 2240 E Center St, Pocatello, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Benjamin Blair, Md Pa
Address 2240 E Center St, Pocatello, Idaho
Phone Number 2082332100
Fax Number 2082333146
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Blair Benjamin
Credentials MD
Telephone Number 2082332100

NPI Number Detail

NPI Number 1497883300
Provider Enumeration Date 2007-03-01
Last Updated Date 2021-09-07

Provider Mailing Address Detail

Address 2240 E Center St
City Pocatello
State Idaho (ID)
Post Code 832012600
Phone Number 2082332100
Fax Number 2082333146

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No M7032
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100002014 ID BLUE SHIELD OF IDAHO
8K305 ID BLUE CROSS GROUP ID #
2756000 ID --
185513400 US DEPT OF LABOR
DA7257 RAILROAD MEDICARE GRP ID

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FAQs about Benjamin Blair, Md Pa

What is the unique 10-digit identifier code assigned to Benjamin Blair, Md Pa by the Centers for Medicare & Medicaid Services?

The Benjamin Blair, Md Pa has been issued the NPI (National Provider Identifier) 1497883300 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Benjamin Blair, Md Pa is physically located?

The Benjamin Blair, Md Pa is physically situated at the following address: 2240 E Center St, Pocatello, ID, 832012600.

What is Benjamin Blair, Md Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Benjamin Blair, Md Pa is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1497883300 to Benjamin Blair, Md Pa?

The Centers for Medicare & Medicaid Services assigned the 1497883300 to Benjamin Blair, Md Pa on 2007-03-01.

When was the information regarding Benjamin Blair, Md Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Benjamin Blair, Md Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-09-07.

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