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Dr. James Wallentine Blotter, MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in North Logan, Utah
NPI 1962499673

James Wallentine Blotter is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in North Logan, UT and is specialized in Plastic Surgery within the Head & Neck. James Wallentine Blotter practices in North Logan, UT and has the professional credentials of MD. The NPI Number for James Wallentine Blotter is 1962499673 and holds a License No. 3082587-1205 (Utah).

The current practice location address for James Wallentine Blotter is 2245 N 400 E, North Logan, UT and can be reached out via phone at 435-753-7880 and via fax at 435-753-5845.

Location: 2245 N 400 E, North Logan, UT, 84341-1892
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962499673
Provider Name
James Wallentine Blotter
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2245 N 400 E, North Logan, UT, 84341-1892
Phone Number
435-753-7880
Fax Number
435-753-5845
Provider Enumeration Date
09/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M-8784 01 ID IDAHO STATE LICENSE
87037196400 05 UT
institution
Provider Business Practice Location Address Details
Address
2245 N 400 E
City
North Logan
State
Utah
Zip
84341-1892
Phone Number
435-753-7880
Fax Number
435-753-5845
person
Provider Business Mailing Address Details
Address
2245 N 400 E
City
North Logan
State
Utah
Zip
84341-1892
Phone Number
435-753-7880
Fax Number
435-753-5845
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
3082587-1205 (Utah)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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