NPI 1043470990
Richard Brennan Blackham, MD
Practice location
- Address
- 5171 S Cottonwood St STE 180, Murray, UT 84107-5704
- Phone
- (801) 507-9800
- Fax
- (801) 507-9801
- Mailing address
- PO Box 27128, Salt Lake City, UT 84127-0128
Registered specialties (2)
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Registry record
- NPI
- 1043470990
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Jun 2008
- Record last updated
- 8 Jun 2026
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.