STEPHEN ANTHONY BLAS

POST FALLS, ID
NPI1619479490
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X 
(Licence: WA  60540132)
Additional Taxonomies224P00000X Prosthetist
(Licence: WA  60471375)
Enumeration Date2018-03-07
Last Update Date2020-11-25
Business Address
Mr. STEPHEN ANTHONY BLAS CPO
1160 E POLSTON AVE STE A
POST FALLS, ID 83854-6045
Phone number: 208-457-1545
Mailing Address
Mr. STEPHEN ANTHONY BLAS CPO
1160 E POLSTON AVE STE A
POST FALLS, ID 83854-6045
Phone number: 208-457-1545
Similar providers in Post Falls, ID
DANIEL DALEY