CHRIS BLAINE
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1952930109- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 12652 S AREZZO WAY, NAMPA, ID, 836868276
- Phone
- (208) 709-5513
Specialties & Taxonomies
Internal Medicine
Primary License: ID #O-1870