Individual
SONYA THOMAS BLIZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2175 N MAIN ST, COEUR D ALENE, ID 83814-5768
(208) 664-9888
(208) 666-0816
Mailing address
2600 E SELTICE WAY, STE A PMB 277, POST FALLS, ID 83854
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2016-00555
NC
207W00000X
Ophthalmology Physician
Primary
M-13914
ID
207W00000X
Ophthalmology Physician
P29020
MD
Other
Enumeration date
04/27/2012
Last updated
02/10/2020
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