NPI 1992730311 · live from the CMS NPI Registry
Stephen Joseph Blair, D.O.
Family Medicine in South Portland, ME. National Provider Identifier 1992730311, active.
NPI record
| NPI | 1992730311 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 400 Southborough Dr, South Portland, ME 04106 |
| Practice phone | 207-761-1100 |
| Enumerated | July 12, 2006 |
| Last updated | June 27, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 1236 (ME) |
| Preventive Medicine, Occupational Medicine | 2083X0100X | 1236 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.