Individual provider · Type 1 NPI
Ballard Glenn Blair, D.P.M
Primary Podiatric Medicine Podiatrist · Shelton, CT
NPI number
1356350201
Active
Practice location
375 Bridgeport Ave
Shelton, CT 06484
Fax (203) 929-5277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 00419 (CT) |
| Radiology Podiatrist | 213ER0200X | 00419 (CT) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 00419 (CT) |
| Podiatrist | 213E00000X | CT000419 (CT) |
Primary Podiatric Medicine Podiatrist: Definition to come...
3 other providers at this address
About NPI 1356350201
Ballard Glenn Blair, D.P.M's National Provider Identifier is 1356350201, issued on Aug 7, 2006. 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 Sep 4, 2013.