BLAKE A. DICKENSON DO
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1932799160- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 85 N MEDICAL DR, SALT LAKE CITY, UT, 841121100
- Phone
- (801) 581-2121
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: UT #14172601-1204