-- JASON LEE BLACKHAM M.D. ⚕️ Utah 1821293242

NPI	1821293242
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	207RS0010X Internal Medicine, Sports Medicine (Licence: UT 7216493-1205)
Enumeration Date	2007-06-16
Last Update Date	2011-09-22

-- JASON LEE BLACKHAM M.D.

4403 HARRISON BLVD SUITE 2400

OGDEN, UT 84403-3271

Phone number: 801-387-2750

-- JASON LEE BLACKHAM M.D.

PO BOX 27128

SALT LAKE CITY, UT 84127-0128

Phone number: 801-387-2750