BLAKE A. DICKENSON

SALT LAKE CITY, UT
NPI1932799160
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: UT  14172601-1204)
Enumeration Date2021-01-21
Last Update Date2024-11-07
Business Address
BLAKE A. DICKENSON DO
85 N MEDICAL DR
SALT LAKE CITY, UT 84112-1100
Phone number: 801-581-2121
Mailing Address
BLAKE A. DICKENSON DO
85 N MEDICAL DR
SALT LAKE CITY, UT 84112-1100
Phone number: 801-581-2121
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