NPI | 1144204553 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY R BLAIR President 573-874-1616 |
Organization Subpart ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: MO MD108058) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2020-12-03 |