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Justin Blaty, MD
Pediatric Sleep Medicine Physician in Boise, Idaho
NPI 1548766835

Justin Blaty is a Pediatric Sleep Medicine Physician based in Boise, ID and is specialized in Sleep Medicine. Justin Blaty practices in Boise, ID and has the professional credentials of MD. The NPI Number for Justin Blaty is 1548766835 and holds a License No. 77233 (Idaho).

The current practice location address for Justin Blaty is 1075 N Curtis Rd Ste 201, Boise, ID and can be reached out via phone at 208-302-3300 and via fax at 208-302-3355.

Location: 1075 N Curtis Rd Ste 201, Boise, ID, 83719-0930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548766835
Provider Name
Justin Blaty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1075 N Curtis Rd Ste 201, Boise, ID, 83719-0930
Phone Number
208-302-3300
Fax Number
208-302-3355
Provider Enumeration Date
04/04/2018
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1548766835 05 WI
institution
Provider Business Practice Location Address Details
Address
1075 N Curtis Rd Ste 201
City
Boise
State
Idaho
Zip
83706-1350
Phone Number
208-302-3300
Fax Number
208-302-3355
person
Provider Business Mailing Address Details
Address
1075 N Curtis Rd Ste 201
City
Boise
State
Idaho
Zip
83706-1350
Phone Number
208-302-3300
Fax Number
208-302-3355
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Sleep Medicine
Taxonomy
2080S0012X
License No.
MD61145727 (Washington)
Definition
A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
77233 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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