Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE C. MORTENSON, M.D.
ActiveBLAKE C. MORTENSON, M.D. is a Diagnostic Radiology healthcare provider located in LOGAN, Utah. NPI 1427056860 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · LOGAN, UT
Registration Details
- NPI Number
- 1427056860
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2005 (21.111980684369 yrs)
- Last Updated
- Apr 20, 2015
- License
-
48375961205 (UT)
Practice Information
- Address
-
1400 N 500 ELOGAN, UT, 843412455Browse UT providers · Browse ZIP 84341
- Phone
- 4357161000
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| MARK D ANDERSON | M.D. | 1376540955 |
| JEFFREY SCOTT JOB | M.D. | 1669479341 |
| C. RICHARD HOPKINS | M.D. | 1235138017 |
| DANIEL J PARKER | M.D. | 1164516878 |
| JASON JAMES GINOS | MD | 1891925723 |
| DALLIN VAL CHRISTENSEN | DO | 1932661154 |
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.