| Blake William Montgomery, PA-C | |
|
1681 W 3860 S Ste 106b, West Valley, UT 84119-6274 | |
| (385) 429-0785 | |
| Not Available |
| Full Name | Blake William Montgomery |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1681 W 3860 S Ste 106b, West Valley, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376223818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8747490-1206 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Blake William Montgomery, PA-C 1681 W 3860 S Ste 106b, West Valley, UT 84119-6274 Ph: (385) 429-0785 | Blake William Montgomery, PA-C 1681 W 3860 S Ste 106b, West Valley, UT 84119-6274 Ph: (385) 429-0785 |
Adrienne Natasha Terry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3725 W 4100 S, West Valley, UT 84120 Phone: 801-965-3600 | |
Kirsten Bruns Callari, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2390 S Redwood Rd, West Valley, UT 84119 Phone: 801-975-1600 | |
Cristal Bedolla, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3460 South 4155 West #3460, West Valley, UT 84120 Phone: 801-964-3100 | |
Ryan Dennis Wight, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3336 Pioneer Pkwy, Suite 302, West Valley, UT 84120 Phone: 617-314-2172 | |
Scott Bowers, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3336 S Pioneer Pkwy, St 302, West Valley, UT 84120 Phone: 801-964-8726 Fax: 801-968-9836 |