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Contact Information

CLARENCE W BLEA, MD
333 N 1ST ST
SUITE 150
BOISE, ID83702-6100
 Phone: 208-381-3008
 Fax: 208-381-4314
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CLARENCE W BLEA · (Male)

NPI Number 1558312199
Status Active
Credentials MD
Entity Individual
Enumeration date 05/15/2006
Last updated 06/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M6717
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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