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Blake Richard Beazer, MD
Family Medicine Physician in Tooele, Utah
NPI 1073510012

Blake Richard Beazer is a Family Medicine Physician based in Tooele, UT. Blake Richard Beazer practices in Tooele, UT and has the professional credentials of MD. The NPI Number for Blake Richard Beazer is 1073510012 and holds a License No. 5248080-1205 (Utah).

The current practice location address for Blake Richard Beazer is 2356 N 400 E, Tooele, UT and can be reached out via phone at 435-882-2350 and via fax at 435-882-2039.

Location: 2356 N 400 E, Tooele, UT, 84074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073510012
Provider Name
Blake Richard Beazer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2356 N 400 E, Tooele, UT, 84074
Phone Number
435-882-2350
Fax Number
435-882-2039
Provider Enumeration Date
07/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D4916 05 UT
institution
Provider Business Practice Location Address Details
Address
2356 N 400 E
City
Tooele
State
Utah
Zip
84074
Phone Number
435-882-2350
Fax Number
435-882-2039
person
Provider Business Mailing Address Details
Address
2356 N 400 E
City
Tooele
State
Utah
Zip
84074
Phone Number
435-882-2350
Fax Number
435-882-2039
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5248080-1205 (Utah)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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