| Wayne H Blauer Md Pa | |
|
1501 Hiland Ave Ste L3 Burley ID 83318-2682 | |
| (208) 678-2283 | |
| (208) 677-2483 |
| Full Name | Wayne H Blauer Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1501 Hiland Ave, Burley, Idaho |
| Authorized Official Name and Position | Wayne H Blauer (PRESIDENT) |
| Authorized Official Contact | 2086782283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne H Blauer Md Pa 1501 Hiland Ave Ste L3 Burley ID 83318-2682 Ph: (208) 678-2283 | Wayne H Blauer Md Pa 1501 Hiland Ave Ste L3 Burley ID 83318-2682 Ph: (208) 678-2283 |
| NPI Number | 1184812232 |
|---|---|
| Provider Enumeration Date | 10/12/2007 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184812232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M-4491 (Idaho) | Primary |
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