| Blaser Medical LLC | |
|
475 40th St Ste 111 Ogden UT 84403-1856 | |
| (801) 515-7997 | |
| (385) 333-7413 |
| Full Name | Blaser Medical LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 475 40th St Ste 111, Ogden, Utah |
| Authorized Official Name and Position | Elizabeth Ann Allison (CONTRACTING/CREDENTIALING) |
| Authorized Official Contact | 8013916617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blaser Medical LLC 116 S Shadow Breeze Rd Kaysville UT 84037-9401 Ph: (801) 515-7997 | Blaser Medical LLC 475 40th St Ste 111 Ogden UT 84403-1856 Ph: (801) 515-7997 |
| NPI Number | 1023721941 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023721941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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