Robert Blackston, CST, CSFA

NPI #1770641193 in Coeur D Alene, Idaho

Provider Information

NPI Number
1770641193
Entity Type
Individual
Name
Robert Blackston, CST, CSFA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Credential
CST, CSFA
Enumeration Date
Dec 5, 2006
Last Updated
Apr 26, 2018

Practice Location

Address
2003 KOOTENAI HEALTH WAY
State
Idaho
ZIP Code
83814-6051
Phone
(208) 625-4000

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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