Individual
ERIC CRAIG BLOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8TH AVENUE AND C STREET, LDS HOSPITAL, SALT LAKE CITY, UT 84143
(801) 507-5248
(801) 733-5618
Mailing address
3340 NORTH CENTER ST #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 990-1912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
84-172104-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000477100
—
ID
05
—
002087148
—
NV
01
—
107005527101
IHC
UT
05
—
109358400
—
WY
05
—
127937
—
AZ
01
—
1502954
UMWA
UT
01
—
17499
DESERET MUTUAL
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
37775
PEHP
UT
01
—
53227
HEALTHY U
UT
01
—
8597445
WORKERS COMP
UT
01
—
870545614BL1
EDUCATORS MUTUAL
UT
01
—
PRA04664
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
10/05/2006
Last updated
10/15/2012
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