Organization
BLASER MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN ALLISON (CONTRACTING/CREDENTIALING)
(801) 391-6617
Entity
Organization
Contact information
Practice address
475 40TH ST STE 111, OGDEN, UT 84403-1856
(801) 515-7997
(385) 333-7413
Mailing address
116 S SHADOW BREEZE RD, KAYSVILLE, UT 84037-9401
(801) 515-7997
(385) 333-7413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
04/15/2024
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