BLAKE NELSON JORDAN

PARK CITY, UT
NPI1740159060
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2025-11-04
Last Update Date2025-11-04
Business Address
BLAKE NELSON JORDAN PA-C
1784 UINTA WAY STE E
PARK CITY, UT 84098-7669
Phone number: 435-604-0160
Mailing Address
BLAKE NELSON JORDAN PA-C
892 S 30 E
SALEM, UT 84653-5305
Phone number: 435-227-6263
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