Robert C. Blaylock MD

NPI 1104916733 - Pathology - 207ZP0105X

NPI Details
NPI 1104916733
Gender Male
Enumeration Date 10/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
50 N MEDICAL DR
SALT LAKE CITY UT, 84132-0001, US
Phone (801) 581-2507
Fax
Business Location
PO BOX 581054
SALT LAKE CITY UT, 84158-1054, US
Phone (801) 213-3800
Fax
Toxanomy
Taxonomy Code 207ZP0105X
License State Utah
License Number 177516-1205
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According to our database, Robert C. Blaylock MD NPI is 1104916733, taxonomy code is 207ZP0105X and license number is 177516-1205, license state is located at Utah. Robert C. Blaylock MD physically located at 50 N Medical Dr, Salt Lake City UT, 84132-0001. NPI Number Robert C. Blaylock MD has the Individual type.

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1104916733 NPI number is provided on an as is basis without warranty of any kind. 1104916733 is maintained by the National Plan & Provider Enumeration System. The contents of Robert C. Blaylock MD are for informational purposes only.