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Brenda K Blackham, MD

Anesthesiology in Murray, UT. Individual provider (NPI-1).

NPI number1174635494
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1174635494
Entity type
Individual (NPI-1)
Name
Brenda K Blackham
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 31, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology90183338-1205UTYes

Practice location

5770 Fashion Blvd
Murray, UT 84107-6548

Phone 801-993-9582 · Fax 801-733-5618

Mailing address

2975 Executive Pkwy
200
Lehi, UT 84043-9642

Phone 801-990-1911 · Fax 801-990-1912

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