Individual
MR. STEPHEN ANTHONY BLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1160 E POLSTON AVE STE A, POST FALLS, ID 83854-6045
(208) 457-1545
Mailing address
1160 E POLSTON AVE STE A, POST FALLS, ID 83854-6045
(208) 457-1545
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
60540132
WA
224P00000X
Prosthetist
60471375
WA
Other
Enumeration date
03/07/2018
Last updated
11/25/2020
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