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NPI Profile for EMILY BLOOMQUIST in SALT LAKE CITY, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1194119149 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 03/26/2015 | |
| Last updated | 03/26/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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EMILY BLOOMQUIST
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EMILY BLOOMQUIST, PA-C