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Individual

JAY F BLANKENSHIP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
UNIVERSITY OF UTAH DIV OF EMERGENCY MEDICINE, 30 NORTH 1900 EAST RM 1C026, SALT LAKE CITY, UT 84132-0001
(801) 587-7653
Mailing address
UNIVERSITY OF UTAH DIV OF EMERGENCY MEDICINE, 30 NORTH 1900 EAST RM 1C026, SALT LAKE CITY, UT 84132-0001

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36159
SC
207P00000X
Emergency Medicine Physician
Primary
7769878-1205
UT

Other

Enumeration date
04/01/2009
Last updated
06/27/2024
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