Benjamin W Blackburn, PA-C
NPI #1649380049 in West Jordan, Utah
Provider Information
- NPI Number
- 1649380049
- Entity Type
- Individual
- Name
- Benjamin W Blackburn, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Oct 14, 2015
Practice Location
- Address
- 8849 S REDWOOD RD
- Address 2
- STE E-121
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-5619
- Phone
- (801) 569-1999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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