NPI 1023300548

Blaine Ladd

Practitioner Other Technician Saint George, UT

Practice location

Address: 474 W 200 N, Saint George, UT 84770-4505
Phone: (435) 634-5660
Mailing address: 2496 Crestview Dr, Santa Clara, UT 84765-5557

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Utah →

Registry record

NPI: 1023300548
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2011
Record last updated: 3 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.