institution
Benjamin Blair, Md Pa
Specialist in Pocatello, Idaho
NPI 1497883300

Benjamin Blair, Md Pa is a Specialist based in Pocatello, ID. Benjamin Blair, Md Pa practices in Pocatello, ID. The NPI Number for Benjamin Blair, Md Pa is 1497883300 and holds a License No. M7032 (Idaho).

The current practice location address for Benjamin Blair, Md Pa is 2240 E Center St, Pocatello, ID and can be reached out via phone at 208-233-2100 and via fax at 208-233-3146.

Location: 2240 E Center St, Pocatello, ID, 83201-2600
institution
Provider Profile Details
NPI Number
1497883300
Provider Name
Benjamin Blair, Md Pa
Credential
Provider Entity Type
Organization
Address
2240 E Center St, Pocatello, ID, 83201-2600
Phone Number
208-233-2100
Fax Number
208-233-3146
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000100002014 01 ID BLUE SHIELD OF IDAHO
8K305 01 ID BLUE CROSS GROUP ID #
002756000 05 ID
185513400 01 US DEPT OF LABOR
DA7257 01 RAILROAD MEDICARE GRP ID
institution
Provider Business Practice Location Address Details
Address
2240 E Center St
City
State
Zip
83201-2600
Phone Number
208-233-2100
Fax Number
208-233-3146
person
Provider Business Mailing Address Details
Address
2240 E Center St
City
State
Zip
83201-2600
Phone Number
208-233-2100
Fax Number
208-233-3146
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
M7032 (Idaho)
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.
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