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Individual
DR. DAVID WILLIAM BLODGETT
Active
Individual
DR. DAVID WILLIAM BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
6413327-1205
UT
208D00000X
General Practice Physician
6413327-1205
UT
Other
Enumeration date
08/17/2007
Last updated
10/12/2007
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