Ballard Glenn Blair, DPM | |
375 Bridgeport Ave, Shelton, CT 06484 | |
(203) 929-5559 | |
(203) 929-5277 |
Full Name | Ballard Glenn Blair |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 39 Years |
Location | 375 Bridgeport Ave, Shelton, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356350201 | NPI | - | NPPES |
004070918 | Medicaid | CT |
Provider Name | B .glenn Blair Dpm P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306020938 PECOS PAC ID: 4981725553 Enrollment ID: O20111213000275 |
Mailing Address | Practice Location Address |
---|---|
Ballard Glenn Blair, DPM 375 Bridgeport Ave, Shelton, CT 06484 Ph: (203) 929-5559 | Ballard Glenn Blair, DPM 375 Bridgeport Ave, Shelton, CT 06484 Ph: (203) 929-5559 |
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