Individual provider · Type 1 NPI
Russell R. Blakeley, MD
Cardiovascular Disease Physician · Sandpoint, ID
NPI number
1063409639
Active
Practice location
606 N Third Ave, Suite 203
Sandpoint, ID 83864-1594
Fax (208) 263-2908
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | 16299 (TN) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Another provider at this address
Other cardiovascular disease physician providers in Sandpoint
About NPI 1063409639
Russell R. Blakeley, MD's National Provider Identifier is 1063409639, issued on Sep 29, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Sandpoint, ID. The record was last updated on Jan 27, 2016.