Robert Blackston in Coeur D Alene - Surgical Assistant

Robert Blackston - NPI 1770641193

Robert Blackston is a Surgical Assistant in Coeur D Alene, Idaho. Robert Blackston practices all healthcare services and medical treatments related to Surgical Assistant. The NPI Number for Robert Blackston is 1770641193. The last update date is 2018-04-26.

Robert Blackston's current location address is 4768 W Princetown Ln, Coeur D Alene, Idaho. You can contact this provider via phone number 2089611151. The mailing address for Robert Blackston is 4768 W Princetown Ln, Coeur D Alene, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Blackston
Address 4768 W Princetown Ln, Coeur D Alene, Idaho
Phone Number 2089611151
Fax Number
Sole Proprietor N
Credentials CST, CSFA

NPI Number Detail

NPI Number 1770641193
Provider Enumeration Date 2006-12-05
Last Updated Date 2018-04-26

Provider Mailing Address Detail

Address 4768 W Princetown Ln
City Coeur D Alene
State Idaho (ID)
Post Code 838155215
Phone Number 2089611151
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical Assistant
Taxonomy 246Zc0007X
Licence No 143020
Definition:
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, c

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FAQs about Robert Blackston

What is the Robert Blackston's unique identification number?

The Robert Blackston has been assigned the NPI (National Provider Identifier) Number 1770641193 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Robert Blackston is physically located?

The Robert Blackston is situated at the following address: 4768 W Princetown Ln, Coeur D Alene, ID 838155215.

What is Robert Blackston's specialized field of practice, and what is the corresponding taxonomy classification code?

The Robert Blackston's area of specialization is Surgical Assistant, and the corresponding taxonomy code that categorizes this field of practice is 246Zc0007X.

On what date was the 1770641193 assigned to Robert Blackston?

The Robert Blackston was issued its 1770641193 on 2006-12-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Robert Blackston's details last updated?

The information pertaining to the Robert Blackston, including its address, specialty, and other details, was most recently updated on 2018-04-26.

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