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Blake C. Mortenson, MD
Diagnostic Radiology Physician in Logan, Utah
NPI 1427056860

Blake C. Mortenson is a Diagnostic Radiology Physician based in Bountiful, UT and is specialized in Diagnostic Radiology. Blake C. Mortenson practices in Logan, UT and has the professional credentials of MD. The NPI Number for Blake C. Mortenson is 1427056860 and holds a License No. 48375961205 (Utah).

The current practice location address for Blake C. Mortenson is 1400 N 500 E, Logan, UT and can be reached out via phone at 435-716-1000.

Location: 1400 N 500 E, Logan, UT, 84011-1108
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Provider Profile Details
NPI Number
1427056860
Provider Name
Blake C. Mortenson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1400 N 500 E, Logan, UT, 84011-1108
Phone Number
435-716-1000
Fax Number
Provider Enumeration Date
07/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
118743100 05 WY
D4474 05 UT
806638500 05 ID
institution
Provider Business Practice Location Address Details
Address
1400 N 500 E
City
State
Zip
84341-2455
Phone Number
435-716-1000
Fax Number
person
Provider Business Mailing Address Details
Address
1400 N 500 E
City
State
Zip
84341-2455
Phone Number
435-716-1000
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
48375961205 (Utah)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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