Dr. Blaine Johnson Cashmore, MD
Surgery in Tooele, UT. Individual provider (NPI-1).
NPI number1174576144
StatusActive
Last updated in NPPESFeb 8, 2018
Details
- NPI
- 1174576144
- Entity type
- Individual (NPI-1)
- Name
- Dr. Blaine Johnson Cashmore
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2006
- Last updated
- Feb 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 59686361205 | UT | Yes |
Practice location
196 E 2000 NSte. 106
Tooele, UT 84074-9335
Phone 435-622-8006 · Fax 435-882-8253
Mailing address
196 E 2000 N Ste 109Tooele, UT 84074-9335
Phone 435-228-0061 · Fax 435-843-7135
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