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NPI Code Detail

MEDICARE: MATTHEW LEWIS BLAIR D.O.

MEDICARE:   MATTHEW LEWIS BLAIR  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology PhysicianOS15400FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437461878
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW LEWIS BLAIR D.O.
Provider Business Mailing Address
First Line : 4601 SPANISH TRL
Second Line :
City : PENSACOLA
State : FL
Zip : 32504-5039
Country : US
Telephone Number : 850-990-9407
Fax Number :
Provider Business Practice Location Address
First Line : 4601 SPANISH TRL
Second Line :
City : PENSACOLA
State : FL
Zip : 32504-5039
Country : US
Telephone Number : 850-990-9407
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2010
Last Update Date : 01/28/2025

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Directions to “ MATTHEW LEWIS BLAIR D.O.” Practice Location

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