HARRISON DAVIS BLANTON MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1689932659- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 315 E ELM STREET STE 100, CALDWELL, ID, 836054858
- Phone
- (208) 302-7100
- Fax
- (208) 302-7155
Specialties & Taxonomies
Family Medicine
License: ID #M-12857
Family Medicine
Primary License: CO #DR0053011