Natalie Marie Blaskowski, PA-C
Physician Assistant in Park City, UT. Individual provider (NPI-1).
NPI number1124589262
StatusActive
Last updated in NPPESNov 17, 2020
Details
- NPI
- 1124589262
- Entity type
- Individual (NPI-1)
- Name
- Natalie Marie Blaskowski
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2019
- Certification date
- Nov 17, 2020
- Last updated
- Nov 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 11504426-1206 | UT | Yes |
| 363A00000X | Physician Assistant | – | – |
Other names
- Natalie Marie Plascencia (Former Name)
Practice location
900 Round Valley Dr Ste 100Park City, UT 84060-7552
Phone 435-656-6600
Mailing address
900 Round Valley Dr Ste 100Park City, UT 84060-7552
Phone 435-656-6600
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All 30 Physician Assistant providers in Park City · All 891 providers in Park City
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