Douglas U. Blank in Idaho Falls - Cardiovascular Disease
Douglas U. Blank - NPI 1871598631
Douglas U. Blank is a Cardiovascular Disease in Idaho Falls, Idaho. Douglas U. Blank practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Douglas U. Blank is 1871598631. The last update date is 2011-08-23.
Douglas U. Blank's current location address is 2985 Cortez Ave, Idaho Falls, Idaho. You can contact this provider via phone number 2085233373 and fax number 2085238746. The mailing address for Douglas U. Blank is 2985 Cortez Ave, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas U. Blank |
|---|---|
| Address | 2985 Cortez Ave, Idaho Falls, Idaho |
| Phone Number | 2085233373 |
| Fax Number | 2085238746 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1871598631 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2011-08-23 |
Provider Mailing Address Detail
| Address | 2985 Cortez Ave |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 8340429850 |
| Phone Number | 2085233373 |
| Fax Number | 2085238746 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | M-7866 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 327497 | BLUE SHIELD | ||
| 805536100 | ID | -- | |
| KOO J1338 | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Douglas U. Blank by the Centers for Medicare & Medicaid Services?
The Douglas U. Blank has been issued the NPI (National Provider Identifier) 1871598631, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Douglas U. Blank?
The Douglas U. Blank is physically situated at 2985 Cortez Ave, in the city of Idaho Falls, state of ID, with the postal code 8340429850.
What is Douglas U. Blank's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Douglas U. Blank's specialized field of practice is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of specialization is 207Rc0000X.
On what date was the 1871598631 assigned to Douglas U. Blank?
The Douglas U. Blank was issued its 1871598631 on 2005-06-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Douglas U. Blank most recently updated or revised?
The details related to Douglas U. Blank, including its address, specialty, and other relevant information, were last updated or revised on 2011-08-23.