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

MRS. ELIZABETH K BLACKWELL, MD

Active

Family Medicine · PROVO, UT

Registration Details

NPI Number
1598949786
Provider Type
Individual
Gender
Female
NPI Issued
Dec 24, 2007 (18.35765600727 yrs)
Last Updated
Jan 28, 2008
License
160261-1205 (UT)

Practice Information

Address
1750 N WYMOUNT TERRACE DR
PROVO, UT, 846024800
Browse UT providers · Browse ZIP 84602
Phone
8014222771
Fax
8014220761
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in PROVO, UT

Name Credential NPI
DR. STEVEN W BLOINK MD 1891787891
ANDREW D PETERSEN DO 1124011572
DR. DENNIS C HESS M.D. 1326035080
DR. RICHARD J HOLMES M.D. 1083601942
DR. JAMES A WOODMANSEE III M.D. 1093703530
WESLEY D WYLIE M.D. 1548215197
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.