Dr DOUGLAS U BLANK MD is a male medical professional, specializing in Cardiovascular Disease (cardiology). He graduated in 1994.
ST MARKS PROFESSIONAL SERVICES LLC
3100 CHANNING WAY
IDAHO FALLS
ID
834047533
Tel: 2085296111
| Npi | 1871598631 |
| Pac Id | 5799680443 |
| Professional Enrollment Id | I20031204001092 |
| Last Name | BLANK |
| First Name | DOUGLAS |
| Middle Name | U |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1994 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ST MARKS PROFESSIONAL SERVICES LLC |
| Group Practice Pac Id | 1355248089 |
| Number Of Group Practice Members | 28 |
| Line 1 Street Address | 3100 CHANNING WAY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834047533 |
| Phone Number | 2085296111 |
| Hospital Affiliation Ccn 1 | 130018 |
| Hospital Affiliation Lbn 1 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130025 |
| Hospital Affiliation Lbn 2 | MADISON MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 130065 |
| Hospital Affiliation Lbn 3 | MOUNTAIN VIEW HOSPITAL |
| Hospital Affiliation Ccn 4 | 131313 |
| Hospital Affiliation Lbn 4 | TETON VALLEY HOSPITAL |
| Hospital Affiliation Ccn 5 | 531313 |
| Hospital Affiliation Lbn 5 | STAR VALLEY MEDICAL CENTER |
| Professional Accepts Medicare Assignment | Y |
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