BLAINE K MONTAGUE

SPANISH FORK, UT
NPI1366811606
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  9508541-1206)
Enumeration Date2015-09-16
Last Update Date2021-11-01
Business Address
BLAINE K MONTAGUE P.A.
819 E MARKETPLACE DRIVE
SPANISH FORK, UT 84660-2060
Phone number: 801-717-0341
Mailing Address
BLAINE K MONTAGUE P.A.
819 E MARKETPLACE DRIVE
SPANISH FORK, UT 84660-2060
Phone number: 801-717-0341
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