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Ballard Glenn Blair, DPM
Podiatrist in Shelton, Connecticut
NPI 1356350201

Ballard Glenn Blair is a Podiatrist based in Shelton, CT. Ballard Glenn Blair practices in Shelton, CT and has the professional credentials of DPM. The NPI Number for Ballard Glenn Blair is 1356350201 and holds a License No. 00419 (Connecticut).

The current practice location address for Ballard Glenn Blair is 375 Bridgeport Ave, Shelton, CT and can be reached out via phone at 203-929-5559 and via fax at 203-929-5277.

Location: 375 Bridgeport Ave, Shelton, CT, 06484
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356350201
Provider Name
Ballard Glenn Blair
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
375 Bridgeport Ave, Shelton, CT, 06484
Phone Number
203-929-5559
Fax Number
203-929-5277
Provider Enumeration Date
08/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004070918 05 CT
institution
Provider Business Practice Location Address Details
Address
375 Bridgeport Ave
City
Shelton
State
Connecticut
Zip
06484
Phone Number
203-929-5559
Fax Number
203-929-5277
person
Provider Business Mailing Address Details
Address
375 Bridgeport Ave
City
Shelton
State
Connecticut
Zip
06484
Phone Number
203-929-5559
Fax Number
203-929-5277
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
CT000419 (Connecticut)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
00419 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Radiology
Taxonomy
213ER0200X
License No.
00419 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
00419 (Connecticut)
Definition
Definition to come...
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Similar Doctors in Shelton, Connecticut:

institution
B .glenn Blair Dpm P.c.
NPI 1306020938
Podiatrist
375 Bridgeport Ave,
SHELTON, CT
06484-3844
203-929-5559
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