Individual
CLARENCE W BLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N 1ST ST, SUITE 150, BOISE, ID 83702-6100
(208) 381-3008
(208) 381-4314
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
M6717
ID
Other
Enumeration date
05/15/2006
Last updated
06/26/2023
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