| Keith Blair | |
|
725 N Sandusky Ave Bucyrus OH 44820-1463 | |
| (419) 562-7676 | |
| (419) 562-8469 |
| Full Name | Keith Blair |
|---|---|
| Speciality | Family Medicine |
| Location | 725 N Sandusky Ave, Bucyrus, Ohio |
| Authorized Official Name and Position | Keith David Blair (MD) |
| Authorized Official Contact | 4195627676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Blair 725 N Sandusky Ave Bucyrus OH 44820-1463 Ph: (419) 562-7676 | Keith Blair 725 N Sandusky Ave Bucyrus OH 44820-1463 Ph: (419) 562-7676 |
| NPI Number | 1861675746 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 12/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861675746 | NPI | - | NPPES |
| 0246335 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35037333B (Ohio) | Primary |
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