Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 4186 | WA |
Y | 175F00000X | Naturopath | NT00000404 | WA |
NPI | 1013930346 |
---|---|
Provider Name | Dr. Donald Myers Blair |
First Address | Carnation, WA 98014-9503 |
Second Address | Carnation, WA 98014-9503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 04/12/2020 |