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Richard Alan Blatter, DO
Urology Physician in Idaho Falls, Idaho
NPI 1154682565

Richard Alan Blatter is a Urology Physician based in Idaho Falls, ID. Richard Alan Blatter practices in Idaho Falls, ID and has the professional credentials of DO. The NPI Number for Richard Alan Blatter is 1154682565 and holds a License No. 5315055574 (Idaho).

The current practice location address for Richard Alan Blatter is 2001 S Woodruff Ave Ste 4, Idaho Falls, ID and can be reached out via phone at 208-524-4511 and via fax at 208-524-4540.

Location: 2001 S Woodruff Ave Ste 4, Idaho Falls, ID, 83404-7407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154682565
Provider Name
Richard Alan Blatter
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2001 S Woodruff Ave Ste 4, Idaho Falls, ID, 83404-7407
Phone Number
208-524-4511
Fax Number
208-524-4540
Provider Enumeration Date
06/01/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
O-1041 01 ID IDAHO STATE LICENSE
1154682565 05 MI
institution
Provider Business Practice Location Address Details
Address
2001 S Woodruff Ave Ste 4
City
Idaho Falls
State
Idaho
Zip
83404-6371
Phone Number
208-524-4511
Fax Number
208-524-4540
person
Provider Business Mailing Address Details
Address
2001 S Woodruff Ave Ste 4
City
Idaho Falls
State
Idaho
Zip
83404-6371
Phone Number
208-524-4511
Fax Number
208-524-4540
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
5315055574 (Michigan)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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