Organization · Type 2 NPI
B .glenn Blair DPM P.c.
Primary Podiatric Medicine Podiatrist · Shelton, CT
NPI number
1306020938
Active
Practice location
375 Bridgeport Ave
Shelton, CT 06484-3844
Fax (203) 929-5277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 000419 (CT) |
| Radiology Podiatrist | 213ER0200X | 000419 (CT) |
| Foot Surgery Podiatrist | 213ES0131X | 000419 (CT) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | CT000419 (CT) |
Primary Podiatric Medicine Podiatrist: Definition to come...
3 other providers at this address
About NPI 1306020938
B .glenn Blair DPM P.c.'s National Provider Identifier is 1306020938, issued on Dec 18, 2007. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Shelton, CT. The record was last updated on Apr 2, 2012.