Individual
DR. ADAM CLINTON BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(608) 469-8734
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8771416-1205
UT
Other
Enumeration date
03/22/2012
Last updated
05/03/2016
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