| NPI | 1356350201 |
|---|---|
| Professional Name | B. GLENN BLAIR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CT 00419) |
| Additional Taxonomies | 213ER0200X Podiatrist, Radiology (Licence: CT 00419) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CT 00419) | |
| 213E00000X Podiatrist (Licence: CT CT000419) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2013-09-04 |