Organization
INLAND NORTHWEST SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS BLATY DO (OWNER)
(208) 667-1376
Entity
Organization
Contact information
Practice address
850 W IRONWOOD DR, SUITE 300, COEUR D ALENE, ID 83814-4903
(208) 667-1376
(208) 292-0873
Mailing address
850 W IRONWOOD DR, SUITE 300, COEUR D ALENE, ID 83814-4903
(208) 667-1376
(208) 292-0873
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
M6482
ID
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
06/01/2022
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