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Individual

DR. TANYA SUE BLATY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1551 E MULLAN AVE STE 101, POST FALLS, ID 83854-9005
(208) 262-2439
(208) 508-2259
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 232-2390

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
O-1230
ID
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
O-1230
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477991446
ID
Enumeration date
06/11/2013
Last updated
08/05/2025
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