Individual
DUSTIN M. BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 585-5184
Mailing address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 585-5184
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
R4982
KY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
12744855-1205
UT
Other
Enumeration date
03/20/2019
Last updated
03/23/2022
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