RICHARD ALAN BLATTER D.O.
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1154682565- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 2001 S WOODRUFF AVE STE 4, IDAHO FALLS, ID, 834046371
- Phone
- (208) 524-4511
- Fax
- (208) 524-4540
Specialties & Taxonomies
Urology
License: MI #5315055574
Urology
License: MI #5101019997
Urology
License: MI #O-1041
Urology
Primary License: ID #O-1041