Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN W BLACKBURN, PA-C
ActiveBENJAMIN W BLACKBURN, PA-C is a Physician Assistant healthcare provider located in WEST JORDAN, Utah. NPI 1649380049 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WEST JORDAN, UT
Registration Details
- NPI Number
- 1649380049
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.955131890758 yrs)
- Last Updated
- Oct 14, 2015
- Licenses
-
3458 (AZ)8983610-1206 (UT)
Practice Information
- Address
-
8849 S REDWOOD RDSTE E-121WEST JORDAN, UT, 840885619Browse UT providers · Browse ZIP 84088
- Phone
- 8015691999
- Fax
- 8015692001
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in WEST JORDAN, UT
| Name | Credential | NPI |
|---|---|---|
| COREY L NEWMAN | PA-C | 1629077870 |
| DUANE A BATES | PA | 1629038716 |
| TODD R. ASHBY | PA | 1225099229 |
| CYDNEY MORTENSEN | PA | 1992766901 |
| JENNIFER AVERY | PA | 1982666475 |
| EILEEN SCANLON | PA | 1104888601 |
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.