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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL ADAM BLOXHAM, PA-C

Active Sole Proprietor

SAMUEL ADAM BLOXHAM, PA-C is a Physician Assistant healthcare provider located in SANTA CLARA, Utah. NPI 1558161695 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SANTA CLARA, UT

Registration Details

NPI Number
1558161695
Provider Type
Individual
Gender
Male
NPI Issued
Mar 17, 2025 (1.2285110564476 yrs)
Last Updated
Mar 17, 2025
License
14206396-1206 (UT)
Sole Proprietor
Yes

Practice Information

Address
2286 MALAGA AVE
SANTA CLARA, UT, 847655485
Browse UT providers · Browse ZIP 84765
Phone
4352153444
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SANTA CLARA, UT

Name Credential NPI
JACOB LAMAR PUGH PA-C 1396227146
MCKENZIE VI REYNOLDS 1902415219
WILLIAM MCKINZIE TOBLER 1619617917
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.