Individual
DR. KEITH L. BLAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10150 PETUNIA WAY, SANDY, UT 84092-4380
(801) 878-8888
(801) 878-8890
Mailing address
10150 PETUNIA WAY, SANDY, UT 84092-4380
(801) 878-8888
(801) 878-8890
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
567553-1205 & 8905
UT
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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