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Individual

BLAKE W. ARNOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 673-4800
Mailing address
283 E 930 S, OREM, UT 84058-5001
(801) 225-6246
(801) 225-1525

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
363889-1205
UT
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
363889-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
363889-1205
UT
2085R0204X
Vascular & Interventional Radiology Physician
363889-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107011790103
IHC
UT
01
36388912002001
BLUE CROSS
UT
01
741295
DMBA
UT
05
870487570004
UT
01
870487570BWA
EMIA
UT
Enumeration date
07/20/2006
Last updated
01/20/2014
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