Individual
BLEN ARLOW FREESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
364 W 100 N, MONTICELLO, UT 84535-1054
(435) 587-5054
(435) 587-3004
Mailing address
PO BOX 1141, MONTICELLO, UT 84535-1141
(435) 587-3188
(435) 587-3004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
106950-1206
UT
Other
Enumeration date
08/17/2005
Last updated
01/21/2016
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