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Mr. Gustin Ross Blad, FNP-BC
Family Nurse Practitioner in Pocatello, Idaho
NPI 1982979936

Gustin Ross Blad is a Family Nurse Practitioner based in Pocatello, ID and is specialized in Family. Gustin Ross Blad practices in Pocatello, ID and has the professional credentials of FNP-BC. The NPI Number for Gustin Ross Blad is 1982979936 and holds a License No. NP-1143A (Idaho).

The current practice location address for Gustin Ross Blad is 777 Hospital Way, Pocatello, ID and can be reached out via phone at 208-239-1000.

Location: 777 Hospital Way, Pocatello, ID, 83201-5175
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Provider Profile Details
NPI Number
1982979936
Provider Name
Gustin Ross Blad
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
777 Hospital Way, Pocatello, ID, 83201-5175
Phone Number
208-239-1000
Fax Number
Provider Enumeration Date
03/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
777 Hospital Way
City
State
Zip
83201-5175
Phone Number
208-239-1000
Fax Number
person
Provider Business Mailing Address Details
Address
777 Hospital Way
City
State
Zip
83201-5175
Phone Number
208-239-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP-1143A (Idaho)
Definition
Definition to come...
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