Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL R BLAKELEY, M.D.
ActiveCardiovascular Disease · SANDPOINT, ID
Registration Details
- NPI Number
- 1063409639
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2005 (20.610702510661 yrs)
- Last Updated
- Jan 27, 2016
- License
-
16299 (TN)
Practice Information
- Address
-
606 N THIRD AVESUITE 203SANDPOINT, ID, 838641594Browse ID providers · Browse ZIP 83864
- Phone
- 2082638505
- Fax
- 2082632908
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
Other Cardiovascular Disease Providers in SANDPOINT, ID
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY D PENNOCK | MD | 1700889607 |
| LAWRENCE DERBES JR. | MD | 1902906787 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.