Blair A Theis

NPI #1013568120 in Festus, Missouri

Provider Information

NPI Number
1013568120
Entity Type
Individual
Name
Blair A Theis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Enumeration Date
Sep 20, 2019
Last Updated
Feb 24, 2022

Practice Location

Address
35 GOODWIN DR
City
Festus
ZIP Code
63028-4122
Phone
(636) 933-4141

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

Additional Practice Locations

1309 Maple St

Farmington, MO, 63640-7641

(573) 756-4343

1 Childrens Pl

Saint Louis, MO, 63110-1002

(314) 454-6000

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