Whalio Doctors

NPI 1154682565

Richard Alan Blatter, DO

Practitioner Urology Physician Idaho Falls, ID

Practice location

Address
2001 S Woodruff Ave STE 4, Idaho Falls, ID 83404-6371
Phone
(208) 524-4511
Fax
(208) 524-4540
Mailing address
2375 Coronado St, Idaho Falls, ID 83404-7407

Registered specialties (4)

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence O-1041 (ID)
Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 5315055574 (MI)
Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 5101019997 (MI)
Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence O-1041 (MI)

Registry record

NPI
1154682565
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Jun 2012
Record last updated
21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.