Organization
WAYNE H BLAUER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE H BLAUER MD (PRESIDENT)
(208) 678-2283
Entity
Organization
Contact information
Practice address
1501 HILAND AVE, STE L3, BURLEY, ID 83318-2682
(208) 678-2283
(208) 677-2483
Mailing address
1501 HILAND AVE, STE L3, BURLEY, ID 83318-2682
(208) 678-2283
(208) 677-2483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-4491
ID
Other
Enumeration date
10/12/2007
Last updated
06/19/2008
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