Individual
SAMUEL ADAM BLOXHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2286 MALAGA AVE, SANTA CLARA, UT 84765-5485
(435) 215-3444
Mailing address
2286 MALAGA AVE, SANTA CLARA, UT 84765-5485
(435) 215-3444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14206396-1206
UT
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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