BLAKE LOUIS ATWOOD

COEUR D ALENE, ID
NPI1912859547
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207SG0205X Medical Genetics, Ph.D. Medical Genetics
(Licence: ID  2019027)
Enumeration Date2026-02-14
Last Update Date2026-02-14
Business Address
BLAKE LOUIS ATWOOD PhD
2301 W BASTIEN LOOP
COEUR D ALENE, ID 83815-7602
Phone number: 208-541-5894
Mailing Address
BLAKE LOUIS ATWOOD PhD
2301 W BASTIEN LOOP
COEUR D ALENE, ID 83815-7602
Phone number: 208-541-5894