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Blake Trythall

NPI 1366873531 · on the registry since 2013

Practice

Address
2860 East 19500 North
Moroni, UT 84646
Phone
(435) 445-5200
Fax
(435) 445-5201
Organisation at this address
Blue Hills Residential Treatment
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-12-12

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