Blaine K Montague, P.A.
NPI #1366811606 in Spanish Fork, Utah
Provider Information
- NPI Number
- 1366811606
- Entity Type
- Individual
- Name
- Blaine K Montague, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- Sep 16, 2015
- Last Updated
- Nov 1, 2021
Practice Location
- Address
- 819 E MARKETPLACE DRIVE
- City
- Spanish Fork
- State
- Utah
- ZIP Code
- 84660-2060
- Phone
- (801) 717-0341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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