Individual
MR. MICHAEL KEVIN BLATTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
24 S 1100 E STE 101, SALT LAKE CITY, UT 84102-1562
(801) 355-6468
(801) 355-3450
Mailing address
24 S 1100 E STE 101, SALT LAKE CITY, UT 84102-1562
(801) 355-6468
(801) 355-3450
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5291674-1204
UT
207X00000X
Orthopaedic Surgery Physician
DO3014
NV
Other
Enumeration date
04/29/2014
Last updated
08/05/2024
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