JORDAN LEE BLACKHAM

SAINT GEORGE, UT
NPI1790337046
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-07-16
Last Update Date2020-11-06
Business Address
JORDAN LEE BLACKHAM PA-C
652 S MEDICAL CENTER DR STE 120
SAINT GEORGE, UT 84790-7077
Phone number: 435-251-3600
Mailing Address
JORDAN LEE BLACKHAM PA-C
3155 S HIDDEN VALLEY DR UNIT 333
SAINT GEORGE, UT 84790-6986
Phone number: 435-262-0497