Blatter, Duane

Blatter, Duane is an individual health care provider with primary practice located at 5444 S Green St , Murray UT 84123-5632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Blatter, Duane can be contacted via phone (801) 262-2647.

Contact Information

Primary practice address
5444 S Green St Murray UT 84123-5632
Fax: (801) 262-3897
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M-8434 Idaho
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 180454-1205 Utah

Profile Details

NPI number 1316949316
LBN Legal business name Blatter, Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Sep 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316949316 NPPES
Utah MEDICAID 9664

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