Individual
PATRICIA ANN BLOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
331 4TH AVE E, TRENTON, ND 58853-9998
(701) 774-0461
(701) 774-8003
Mailing address
8268 HIGHWAY 40, BATTLEVIEW, ND 58773-9231
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
ND-PAC0179
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312
—
ND
01
—
15041
BC/BS OF NORTH DAKOTA
ND
Enumeration date
07/06/2006
Last updated
07/08/2007
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