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1205169976
STEPHEN CLYDE BLAIR
ROCKVILLE, MD
NPI
1205169976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MD C0000846)
Enumeration Date
2009-09-14
Last Update Date
2009-09-14
Business Address
Mr. STEPHEN CLYDE BLAIR PA-C
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850-3357
Phone number: 240-826-7072
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Mailing Address
Mr. STEPHEN CLYDE BLAIR PA-C
ADVENTIST PHYSICIAN SERVICES INC P.O. BOX 64742
BALTIMORE, MD 21264-0001
Phone number: 301-315-3171
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