Individual
EMILY BLOOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9450 S 1300 E, SANDY, UT 84094-5553
(801) 501-2133
(801) 501-2254
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9246556-1206
UT
363AM0700X
Medical Physician Assistant
9246556-1206
UT
Other
Enumeration date
03/26/2015
Last updated
07/02/2026
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