Blake C. Mortenson, M.D.

NPI #1427056860 in Logan, Utah

Provider Information

NPI Number
1427056860
Entity Type
Individual
Name
Blake C. Mortenson, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Radiology - Diagnostic Radiology
Credential
M.D.
Enumeration Date
Jul 11, 2005
Last Updated
Apr 20, 2015

Practice Location

Address
1400 N 500 E
City
Logan
State
Utah
ZIP Code
84341-2455
Phone
(435) 716-1000

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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