Montgomery, Blake William

Montgomery, Blake William is an individual health care provider with primary practice located at 1681 W 3860 S Ste 106B , West Valley UT 84119-6274. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Montgomery, Blake William can be contacted via phone (385) 429-0785.

Contact Information

Primary practice address
1681 W 3860 S Ste 106B West Valley UT 84119-6274
Phone: (385) 429-0785
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8747490-1206 Utah

Profile Details

NPI number 1376223818
LBN Legal business name Montgomery, Blake William
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2023
Last updated Jul 19th, 2023 - about last year

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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