Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Inland Northwest Spine PLLC

Organization Neurological Surgery Physician · NPI 1700974714

Inland Northwest Spine PLLC is a Neurological Surgery Physician in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

850 W Ironwood Dr Ste 300
Coeur D Alene, ID 83814-4903
Phone: (208) 667-1376
Fax: (208) 292-0873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Neurological Surgery Physician Taxonomy 207T00000X · Licence M6482 (ID)

Record details

NPI number1700974714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Blaty — Owner · (208) 667-1376
NPI enumeratedOctober 11, 2006
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022
Mailing address850 W Ironwood Dr, Suite 300, Coeur D Alene, ID 83814-4903

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