Search › Utah › 103TF0200X
Harold Blakelock
NPI 1518214899 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1836 N 1120 W # 2
Provo, UT 84604 - Phone
- (801) 722-8362
Registry record
- Primary taxonomy
- 103TF0200X
103TF0200X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-08-06
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