Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE WILLIAM MONTGOMERY, PA-C
ActivePhysician Assistant · WEST VALLEY, UT
Registration Details
- NPI Number
- 1376223818
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2023 (2.7578807782973 yrs)
- Last Updated
- Jul 19, 2023
- License
-
8747490-1206 (UT)
Practice Information
- Address
-
1681 W 3860 S STE 106BWEST VALLEY, UT, 841196274Browse UT providers · Browse ZIP 84119
- Phone
- 3854290785
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WEST VALLEY, UT
| Name | Credential | NPI |
|---|---|---|
| KIRSTEN BRUNS CALLARI | — | 1548456809 |
| RYAN DENNIS WIGHT | PA-C | 1609028943 |
| SIERRA BOLLES | PA-C | 1881178655 |
| ANTHONY CHARLES ALDER | PA-C, DMS | 1083328850 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.