NPI
David Maurice Blackwell
NPI 1184867574
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PA-C
- Type
- Individual
- Enumeration date
- 2009-04-14
- Last updated
- 2023-11-27
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Specialties
Licenses
- License UT
- 5505835-1206
Location
- Practice location
- 1055 N 500 W Ste 207
- City
- Provo UT
- Postal code
- 84604-3305
- Phone
- (801) 375-4263
- Fax
- (801) 429-8085
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Physician Assistants in Provo, UT. 153 with this primary taxonomy in the public file.
Other NPIs in Provo, UT. 6,087 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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