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NPI Code Detail

MEDICARE: NANETTE BLAIR MD

MEDICARE: NANETTE BLAIR MD
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
1207P00000XEmergency Medicine PhysicianG54986CA

General Provider Information

NPI Number : 1710980289
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANETTE BLAIR MD
Provider Business Mailing Address
First Line : 100 WILSON RD
Second Line : 100
City : MONTEREY
State : CA
Zip : 93940-7885
Country : US
Telephone Number : 831-649-1000
Fax Number :
Provider Business Practice Location Address
First Line : 450 E ROMIE LN
Second Line :
City : SALINAS
State : CA
Zip : 93901-4029
Country : US
Telephone Number : 831-759-1840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 09/08/2010

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Directions to “ NANETTE BLAIR MD” Practice Location

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