Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD ALAN BLATTER, D.O.
Active Sole ProprietorRICHARD ALAN BLATTER, D.O. is a Urology healthcare provider located in IDAHO FALLS, Idaho. NPI 1154682565 is currently active in the NPPES registry. Verify at CMS.
Urology · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1154682565
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2012 (14.178444604588 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
5315055574 (MI)5101019997 (MI)O-1041 (MI)O-1041 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2001 S WOODRUFF AVE STE 4IDAHO FALLS, ID, 834046371Browse ID providers · Browse ZIP 83404
- Phone
- 2085244511
- Fax
- 2085244540
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
- Additional Specialty
- Urology
- Additional Specialty
- Urology
Other Urology Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. PETER M CANNON | M.D. | 1326032939 |
| DR. DUNCAN DWAYNNE HARRIS | M.D. | 1679528632 |
| DR. TIMOTHY OSBORN TAYLOR | MD | 1033121322 |
| DR. ROGER H TALL | MD | 1972604494 |
| JARED K. MANWARING | MD | 1235573148 |
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.