Individual
DR. DAVID WILLIAM BLODGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 S 400 E, SUITE 400, ST GEORGE, UT 84770-3700
(435) 986-2545
Mailing address
620 S 400 E, SUITE 400, ST GEORGE, UT 84770-3700
(435) 986-2545
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
6413327-1205
UT
208D00000X
General Practice Physician
6413327-1205
UT
Other
Enumeration date
08/17/2007
Last updated
10/12/2007
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