DR. Russell R Blakeley, M.D.

NPI #1063409639 in Sandpoint, Idaho

Provider Information

NPI Number: 1063409639
Entity Type: Individual
Name: DR. Russell R Blakeley, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine - Cardiovascular Disease
Credential: M.D.
Enumeration Date: Sep 29, 2005
Last Updated: Jan 27, 2016

Practice Location

Address: 606 N THIRD AVE
Address 2: SUITE 203
City: Sandpoint
State: Idaho
ZIP Code: 83864-1594
Phone: (208) 263-8505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X	Primary

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