IndividualActive
Russell Blakeley, M.D.
NPI 1063409639 · Cardiovascular Disease Physician · Sandpoint, ID
Provider details
- NPI number
- 1063409639
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 16299 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
606 N Third Ave
Suite 203
Sandpoint, ID 83864-1594
Phone: (208) 263-8505
Fax: (208) 263-2908
Approximate (ZIP-level) locationGet directions
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Registry dates
- Enumerated
- 2005-09-29
- Last updated
- 2016-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.