Ballard Glenn Blair, DPM
Ballard Glenn Blair, DPM is a Podiatry in Shelton, Connecticut. Graduated from College of Podiatric Med and Surgery, Des Moines University in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 40
- Trained at
- College of Podiatric Med and Surgery, Des Moines University
- Licensed in
- CT
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
375 Bridgeport AveShelton, CT 06484
Phone: (203) 929-5559
Fax: (203) 929-5277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Podiatric Medicine Podiatrist (primary) | Taxonomy 213EP1101X · Licence 00419 (CT) |
|---|---|
| Radiology Podiatrist | Taxonomy 213ER0200X · Licence 00419 (CT) |
| Foot & Ankle Surgery Podiatrist | Taxonomy 213ES0103X · Licence 00419 (CT) |
| Podiatrist | Taxonomy 213E00000X · Licence CT000419 (CT) |
Record details
| NPI number | 1356350201 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | Yes |
| NPI enumerated | August 7, 2006 |
| Last updated in NPPES | September 4, 2013 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY |
| Graduated | 1986 (40 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Shelton
-
B Glenn Blair DPM PC
375 Bridgeport Ave, Shelton, CT 06484-3844 · (203) 929-5559