Individual
BENJAMIN W BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5373 S GREEN ST STE 400, MURRAY, UT 84123-4740
(801) 442-5502
(857) 267-5668
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-5502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3458
AZ
363A00000X
Physician Assistant
Primary
8983610-1206
UT
Other
Enumeration date
08/30/2006
Last updated
06/08/2026
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