BLAKE A MCMILLAN

OGDEN, UT
NPI1356330153
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  1008081206)
Enumeration Date2005-10-14
Last Update Date2017-01-17
Business Address
-- BLAKE A MCMILLAN PA-C
4700 HARRISON BLVD
OGDEN, UT 84403-4303
Phone number: 801-475-3300
Mailing Address
-- BLAKE A MCMILLAN PA-C
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-475-3300
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