Individual
AUSTIN GUY BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1548 S CARSON WAY, SALEM, UT 84653-5742
(801) 380-2386
Mailing address
1548 S CARSON WAY, SALEM, UT 84653-5742
(801) 380-2386
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9801058-4405
UT
Other
Enumeration date
12/18/2020
Last updated
12/15/2021
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