James Wallentine Blotter in North Logan - Plastic Surgery Within The Head & Neck
James Wallentine Blotter - NPI 1962499673
James Wallentine Blotter is a Plastic Surgery Within The Head & Neck in North Logan, Utah. James Wallentine Blotter practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for James Wallentine Blotter is 1962499673. The last update date is 2023-03-07.
James Wallentine Blotter's current location address is 2245 N 400 E, North Logan, Utah. You can contact this provider via phone number 4357537880 and fax number 4357535845. The mailing address for James Wallentine Blotter is 2245 N 400 E, North Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Wallentine Blotter |
|---|---|
| Address | 2245 N 400 E, North Logan, Utah |
| Phone Number | 4357537880 |
| Fax Number | 4357535845 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1962499673 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2245 N 400 E |
|---|---|
| City | North Logan |
| State | Utah (UT) |
| Post Code | 843411892 |
| Phone Number | 4357537880 |
| Fax Number | 4357535845 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | 3082587-1205 |
|
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 tissu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M-8784 | ID | IDAHO STATE LICENSE | |
| 87037196400 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to James Wallentine Blotter by the Centers for Medicare & Medicaid Services?
The James Wallentine Blotter has been assigned the NPI (National Provider Identifier) 1962499673 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where James Wallentine Blotter is geographically located?
The James Wallentine Blotter is physically situated at the following location: 2245 N 400 E, North Logan, UT, 843411892.
What is the James Wallentine Blotter's specialty and taxonomy code?
The James Wallentine Blotter's specialty is Plastic Surgery Within The Head & Neck, and the corresponding taxonomy code is 207Yx0007X.
On what date did the James Wallentine Blotter receive the assignment of its 1962499673 from the Centers for Medicare & Medicaid Services?
The James Wallentine Blotter was issued its 1962499673 by the Centers for Medicare & Medicaid Services on 2005-09-29.
When was the information pertaining to James Wallentine Blotter most recently updated or revised?
The details related to James Wallentine Blotter, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.