Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE LOUIS ATWOOD, PHD
Active Sole ProprietorBLAKE LOUIS ATWOOD, PHD is a 207SG0205X healthcare provider located in COEUR D ALENE, Idaho. NPI 1912859547 is currently active in the NPPES registry. Verify at CMS.
207SG0205X · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1912859547
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2026 (0.45044305765065 yrs)
- Last Updated
- Feb 14, 2026
- License
-
2019027 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2301 W BASTIEN LOOPCOEUR D ALENE, ID, 838157602Browse ID providers · Browse ZIP 83815
- Phone
- 2085415894
- Primary Specialty
-
207SG0205X
207SG0205X
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.