Richard Alan Blatter, D.O.

NPI #1154682565 in Idaho Falls, Idaho

Provider Information

NPI Number: 1154682565
Entity Type: Individual
Name: Richard Alan Blatter, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Credential: D.O.
Enumeration Date: Jun 1, 2012
Last Updated: Jul 21, 2022

Practice Location

Address: 2001 S WOODRUFF AVE STE 4
City: Idaho Falls
State: Idaho
ZIP Code: 83404-6371
Phone: (208) 524-4511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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