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Individual

CALLIE ROSE BLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
9850 W ST LUKES DR STE 229, NAMPA, ID 83687-7912
(208) 205-7700
(208) 205-7701
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
20A12240
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
5371185
ID

Other

Enumeration date
11/28/2012
Last updated
11/12/2025
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