DAVID MAURICE BLACKWELL

PROVO, UT
NPI1184867574
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  5505835-1206)
Enumeration Date2009-04-14
Last Update Date2023-11-27
Business Address
DAVID MAURICE BLACKWELL PA-C
1055 N 500 W STE 207
PROVO, UT 84604-3305
Phone number: 801-375-4263
Mailing Address
DAVID MAURICE BLACKWELL PA-C
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8225
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