ANDREW BLOTTER
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1902752421- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 255 E CENTER ST, IVINS, UT, 847386790
- Phone
- (435) 222-1236
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Primary
All Addresses
MAILING
1043 N 180 W APT 2
LOGAN, UT, 843418407