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1871598631
DOUGLAS U. BLANK
IDAHO FALLS, ID
NPI
1871598631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: ID M-7866)
Enumeration Date
2005-06-17
Last Update Date
2011-08-23
Business Address
Mr. DOUGLAS U. BLANK MD
2985 CORTEZ AVE
IDAHO FALLS, ID 83404-7554
Phone number: 208-523-3373
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Mailing Address
Mr. DOUGLAS U. BLANK MD
2985 CORTEZ AVE
IDAHO FALLS, ID 83404-2985
Phone number: 208-523-3373
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