Dr JAMES L BLAINE PA is a male medical professional, specializing in Physician Assistant. He graduated in 2001.
COMMUNITY CARE WEST SIDE LLC
765 S UTAH AVE
IDAHO FALLS
ID
834025093
Tel: 2085852600
| Npi | 1801963459 |
| Pac Id | 1254303498 |
| Professional Enrollment Id | I20040809001269 |
| Last Name | BLAINE |
| First Name | JAMES |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | COMMUNITY CARE WEST SIDE LLC |
| Group Practice Pac Id | 3678738218 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 765 S UTAH AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834025093 |
| Phone Number | 2085852600 |
| Hospital Affiliation Ccn 1 | 130065 |
| Hospital Affiliation Lbn 1 | MOUNTAIN VIEW HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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