IndividualActive
Justin Blaty, MD
NPI 1548766835 · Pediatric Sleep Medicine Physician · Boise, ID
Provider details
- NPI number
- 1548766835
- Entity type
- Individual
- Primary specialty
- Pediatric Sleep Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 77233 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1075 N Curtis Rd Ste 201
Boise, ID 83706-1350
Phone: (208) 302-3300
Fax: (208) 302-3355
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 190930
Boise, ID 83719-0930
Additional practice locations (2)
- 1959 Ne Pacific StSeattle, WA 98195-1009Phone: (206) 744-3356
- 1626 Tuttle StBaraboo, WI 53913-1501Phone: (608) 355-2033Fax: (608) 355-6820
Registry dates
- Enumerated
- 2018-04-04
- Last updated
- 2024-05-19
- Certified
- 2024-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.