Individual
DR. STEVEN W BLOINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 N WYMOUNT TERRACE DR, PROVO, UT 84602-7600
(801) 422-2771
(970) 677-2540
Mailing address
1750 N WYMOUNT TERRACE DR, PROVO, UT 84602-7600
(801) 422-2771
(970) 677-2540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
186885-1205
UT
207Q00000X
Family Medicine Physician
28892
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01288927
—
CO
05
—
87039842
—
CO
Enumeration date
08/17/2005
Last updated
07/18/2019
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