Individual
MRS. ALLIE B. BLAZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
558 E RIVERSIDE DR STE 200, ST GEORGE, UT 84790-7172
(435) 313-7771
(435) 652-9358
Mailing address
558 E RIVERSIDE DR STE 200, ST GEORGE, UT 84790-7172
(435) 313-7771
(435) 652-9358
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
48973024405
UT
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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