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Search › Utah › 1223G0001X

Michael Blackhurst

NPI 1265883474 · on the registry since 2016

Practice

Address
1963 S 1200 E Ste 103
Salt Lake City, UT 84105
Phone
(801) 466-1212
Organisation at this address
Slc Pdc Pllc
University Of New Mexico Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah