JAMES L BLAINE

POCATELLO, ID
NPI1801963459
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-353)
Enumeration Date2006-11-29
Last Update Date2022-06-29
Business Address
JAMES L BLAINE P.A.-C
1448 E CENTER ST STE E
POCATELLO, ID 83201-4132
Phone number: 208-234-1300
Mailing Address
JAMES L BLAINE P.A.-C
1448 E CENTER ST STE E
POCATELLO, ID 83201-4132
Phone number: 208-234-1300
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