Individual
DR. BLAKE ANDREW SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4403 HARRISON BLVD STE 2400, OGDEN, UT 84403-3297
(801) 387-2750
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R76177
AZ
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
12965142-1205
UT
Other
Enumeration date
05/18/2017
Last updated
07/13/2023
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