Sampson, Blake Patrick
Sampson, Blake Patrick is an individual health care provider with primary practice located at University Of Utah Department Of Dermatology 30 N 1900 E, Salt Lake City UT 84132-0001. He recently has 5 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Sampson, Blake Patrick can be contacted via phone (801) 581-6465.Contact Information
Primary practice address
University Of Utah Department Of Dermatology 30 N 1900 E
Salt Lake City UT 84132-0001
Phone: (801) 581-6465
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MRM-1316 | Idaho |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 91787753 | Utah |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 91787753 | Utah |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 91787531205 | Utah |
Profile Details
| NPI number | 1588007520 |
|---|---|
| LBN Legal business name | Sampson, Blake Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2013 |
| Last updated | May 9th, 2017 - about 7 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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