Colton Warner Blair, LMP

NPI #1497090286 in Prosser, Washington

Provider Information

NPI Number: 1497090286
Entity Type: Individual
Name: Colton Warner Blair, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Dec 5, 2012
Last Updated: Dec 5, 2012

Practice Location

Address: 611 6TH ST
City: Prosser
State: Washington
ZIP Code: 99350-1436
Phone: (509) 786-7001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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