JONATHAN W BLANCH MD

SANTIBANEZ AGUIRRE PC

Dr JONATHAN W BLANCH MD is a male medical professional, specializing in Internal Medicine. He graduated in 1999 from University Of Utah School Of Medicine.

Contact

SANTIBANEZ AGUIRRE PC

11925 S STATE ST
DRAPER
UT
840207735

Tel: 8017835011

JONATHAN W BLANCH MD Information

Npi 1295757573
Pac Id 1153235080
Professional Enrollment Id I20031115000044
Last Name BLANCH
First Name JONATHAN
Middle Name W
Suffix
Gender M
Credential MD
Medical School Name UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year 1999
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SANTIBANEZ AGUIRRE PC
Group Practice Pac Id 4789807165
Number Of Group Practice Members 87
Line 1 Street Address 11925 S STATE ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DRAPER
State UT
Zip Code 840207735
Phone Number 8017835011
Hospital Affiliation Ccn 1 460060
Hospital Affiliation Lbn 1 LONE PEAK HOSPITAL
Hospital Affiliation Ccn 2 460047
Hospital Affiliation Lbn 2 ST MARK'S HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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