Search › Utah › 363A00000X
Blaine Montague, P.A
NPI 1366811606 · on the registry since 2015
Practice
- Address
- 819 E Marketplace Drive
Spanish Fork, UT 84660 - Phone
- (801) 717-0341
Additional practice sites
- 1055 N 500 W Ste 121, Provo, UT
- 1055 N 500 W Ste 121, Provo, UT
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-01
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