Blake William Montgomery, PA-C
NPI #1376223818 in West Valley, Utah
Provider Information
- NPI Number
- 1376223818
- Entity Type
- Individual
- Name
- Blake William Montgomery, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 19, 2023
- Last Updated
- Jul 19, 2023
Practice Location
- Address
- 1681 W 3860 S STE 106B
- City
- West Valley
- State
- Utah
- ZIP Code
- 84119-6274
- Phone
- (385) 429-0785
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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