Individual
BLAKE ALLEN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 E 100 S, SUITE 200, UNIVERSITY OF UTAH HEALTH SCIENCE, GME, SALT LAKE CITY, UT 84102-4211
(801) 213-2735
Mailing address
515 E 100 S, SUITE 200, UNIVERSITY OF UTAH HEALTH SCIENCE, GME, SALT LAKE CITY, UT 84102-4211
(801) 213-2735
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9529149-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
11/11/2021
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