Provider Demographics
NPI:1316998677
Name:BLAIR, BRIAN J (MD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:J
Last Name:BLAIR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:200 W MAGEE RD STE 160
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6493
Mailing Address - Country:US
Mailing Address - Phone:520-620-9898
Mailing Address - Fax:520-620-9810
Practice Address - Street 1:200 W MAGEE RD STE 160
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85704-6493
Practice Address - Country:US
Practice Address - Phone:520-620-9898
Practice Address - Fax:520-620-9810
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2021-05-24
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Provider Licenses
StateLicense IDTaxonomies
AZ341292080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology