Individual
NATHAN BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
140 WHITE SAGE AVE, DELTA, UT 84624-8928
(435) 864-3333
(435) 864-2790
Mailing address
7989 N HWY 125, OAK CITY, UT 84649
(435) 406-1314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
04/28/2020
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