BLAKE C. MORTENSON

LOGAN, UT
NPI1427056860
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: UT  48375961205)
Enumeration Date2005-07-11
Last Update Date2015-04-20
Business Address
-- BLAKE C. MORTENSON M.D.
1400 N 500 E
LOGAN, UT 84341-2455
Phone number: 435-716-1000
Mailing Address
-- BLAKE C. MORTENSON M.D.
PO BOX 1108
BOUNTIFUL, UT 84011-1108
Phone number: 801-296-2113
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