Individual
BLAKE ARON FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 606-4286
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14280159-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
LP05860
RI
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/22/2022
Last updated
06/30/2026
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