NPI 1235311838 · live from the CMS NPI Registry
Dennis A Blackburn, D.P.M.
Podiatrist in Price, UT. National Provider Identifier 1235311838, active.
NPI record
| NPI | 1235311838 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 250 N Fairgrounds Rd, Suite #3, Price, UT 84501 |
| Practice phone | 435-637-6797 |
| Enumerated | December 5, 2007 |
| Last updated | December 5, 2007 |
| Authorized official | Dennis Blackburn, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 103173-0501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.