Individual
BLAIR CHOATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
100 HOSPITAL DR, KETCHUM, ID 83340
(208) 727-8800
Mailing address
1520 NORTHRIDGE DR, HAILEY, ID 83333-8765
(208) 720-6736
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
39563
ID
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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