| Doctor Name: | DR. DAVID WILLIAM BLODGETT |
| NPI Number: | 1902098429 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 6413327-1205 |
| Business Practice Address: | 620 S 400 E Suite 400 St George, UT - 847703700 |
| Business Phone Number: | 4359862545 |
| Business Fax Number: | |
| Mailing Address: | 620 S 400 E, Suite 400 ST GEORGE |
| State: | UT |
| Postal Code: | 847703700 |
| Phone Number: | 4359862545 |
| Fax Number: | |
| NPI Enumeration Date: | 08/17/2007 |
| NPI Last Update Date: | 10/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 6413327-1205 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |