MR. Stephen Anthony Blas, CPO

NPI #1619479490 in Post Falls, Idaho

Provider Information

NPI Number
1619479490
Entity Type
Individual
Name
MR. Stephen Anthony Blas, CPO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Orthotist
Credential
CPO
Enumeration Date
Mar 7, 2018
Last Updated
Nov 25, 2020

Practice Location

Address
1160 E POLSTON AVE STE A
State
Idaho
ZIP Code
83854-6045
Phone
(208) 457-1545

Specialties & Taxonomy Codes

Specialty
Prosthetist
Orthotist

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