Jerry R Blair is a Retina Specialist in Columbia, Missouri. Jerry R Blair practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Jerry R Blair is 1790769701. The last update date is 2017-04-10.
Jerry R Blair's current location address is 3600 Amron Ct, Columbia, Missouri. You can contact this provider via phone number 5738741616 and fax number 5738750300. The mailing address for Jerry R Blair is 3600 Amron Ct, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry R Blair |
|---|---|
| Address | 3600 Amron Ct, Columbia, Missouri |
| Phone Number | 5738741616 |
| Fax Number | 5738750300 |
| Sole Proprietor | N |
| Credentials | M.D., PH.D |
NPI Number Detail
| NPI Number | 1790769701 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2017-04-10 |
Provider Mailing Address Detail
| Address | 3600 Amron Ct |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652021918 |
| Phone Number | 5738741616 |
| Fax Number | 5738750300 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
| Licence No | 108058 |
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Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 207965708 | MO | -- | |
| 5388 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Jerry R Blair's unique identification number?
The Jerry R Blair has been assigned the NPI (National Provider Identifier) Number 1790769701 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jerry R Blair's physical address?
The Jerry R Blair is physically located at 3600 Amron Ct, in the city of Columbia, MO, with the postal code 652021918.
What is the area of specialization for Jerry R Blair, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerry R Blair is Retina Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 207Wx0107X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790769701 to Jerry R Blair?
The Jerry R Blair received its 1790769701 assignment from the Centers for Medicare & Medicaid Services on 2005-12-02.
As of what date were the details related to Jerry R Blair most recently updated or revised?
The information pertaining to Jerry R Blair, including its address, specialty, and other relevant details, was last updated or revised on 2017-04-10.