Richard Brennan Blackham
Pain Medicine
5171 S Cottonwood St Suite, 810
Murray
, Utah 84107-5704
Richard Brennan Blackham
Pain Medicine
5171 S Cottonwood St Suite, 810
Murray
, Utah 84107-5704
(801) 507-9801
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Richard Brennan Blackham
- 5171 S Cottonwood St Suite, 810
- Murray, UT
- Zip : 84107-5704
- Fax : (801) 507-9801
- Phone : (801) 505-9800
Second Address
- Richard Brennan Blackham
- 5171 S Cottonwood St Suite, 810
- Murray, UT
- Zip : 84107-5704
- Fax : (801) 507-9801
- Phone : (801) 507-9800
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FAQs
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Is Richard Brennan Blackham a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2081P2900X | Pain Medicine | 46108 | AZ |
| Y | 2081P2900X | Pain Medicine | 8627317-1205 | UT |
National Provider Identifier
| NPI | 1043470990 |
|---|---|
| Provider Name | Richard Brennan Blackham |
| First Address | Murray, UT 84107-5704 |
| Second Address | Murray, UT 84107-5704 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2008 |
| Last Update Date | 30/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.