JAMES L BLAINE P.A.-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1801963459- Provider Type
- Individual Provider (NPI-1)
- Credentials
- P.A.-C
- Status
- Active
Contact & Location
- Address
- 1448 E CENTER ST STE E, POCATELLO, ID, 832014132
- Phone
- (208) 234-1300
- Fax
- (208) 234-1333
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: ID #PA-353