Ballard Glenn Blair, D.P.M

NPI #1356350201 in Shelton, Connecticut

Provider Information

NPI Number: 1356350201
Entity Type: Individual
Name: Ballard Glenn Blair, D.P.M
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist - Primary Podiatric Medicine
Credential: D.P.M
Enumeration Date: Aug 7, 2006
Last Updated: Sep 4, 2013

Practice Location

Address: 375 BRIDGEPORT AVE
City: Shelton
State: Connecticut
ZIP Code: 06484
Phone: (203) 929-5559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine	213EP1101X	Primary
Podiatrist - Radiology — Radiology	213ER0200X
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Podiatrist	213E00000X

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Organizations

Provider Name	Specialty	City
B .glenn Blair Dpm P.c.	Podiatrist - Primary Podiatric Medicine	Shelton	AI Deep Dive

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