Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | A125196 | CA |
NPI | 1003147257 |
---|---|
Provider Name | Dr. Blair Phillip Peoples |
First Address | Chino, CA 91708-9277 |
Second Address | San Pedro, CA 90732-3505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2010 |
Last Update Date | 06/12/2021 |