Individual
EMILY BLOOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6360 S 3000 E, STE 100, SALT LAKE CITY, UT 84121-6923
(801) 365-1032
(801) 365-1033
Mailing address
6360 S 3000 E, STE 100, SALT LAKE CITY, UT 84121-6923
(801) 365-1032
(801) 365-1033
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9246556-1206
UT
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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