| Blake Nelson Jordan, PA-C | |
|
1784 Uinta Way Ste E, Park City, UT 84098-7669 | |
| (435) 604-0160 | |
| Not Available |
| Full Name | Blake Nelson Jordan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1784 Uinta Way Ste E, Park City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740159060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Nelson Jordan, PA-C 892 S 30 E, Salem, UT 84653-5305 Ph: (435) 227-6263 | Blake Nelson Jordan, PA-C 1784 Uinta Way Ste E, Park City, UT 84098-7669 Ph: (435) 604-0160 |
Richard Rainville, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1154 Center Dr Ste D250, Park City, UT 84098 Phone: 385-246-5971 | |
Cynthia C Berwald, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2720 Homestead Rd, Suite 100, Park City, UT 84098 Phone: 435-940-9400 | |
Shari Bloom, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1665 Bonanza Dr, Park City, UT 84060 Phone: 435-649-7640 Fax: 435-649-1365 | |
Amelia Bell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1784 Uinta Way, E2, Park City, UT 84098 Phone: 435-604-0160 Fax: 435-731-8328 | |
Natalie Marie Blaskowski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr Ste 100, Park City, UT 84060 Phone: 435-656-6600 | |
Kevin Bryan James Huntington, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 435-604-0160 | |
Annie Jane Xiao Xiao Cannon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-655-6600 |