Individual
BLAKE G. WELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4403 HARRISON BLVD, #1815, OGDEN, UT 84403-3339
(801) 732-5900
(801) 217-2327
Mailing address
4403 HARRISON BLVD, #1815, OGDEN, UT 84403-3339
(801) 732-5900
(801) 217-2327
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
973449171205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011969
PTAN
UT
Enumeration date
04/17/2008
Last updated
12/21/2016
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