Blake Patrick Sampson, M.D. Valid NPI
Individual provider · Dermatology Physician · Salt Lake City, UT
- NPI
- 1588007520
- Type
- Individual (Type 1)
- Primary specialty
- Dermatology Physician (Dermatology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207N00000X
- License number
- 91787531205 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2013-04-09
- Last updated
- 2017-05-09
Practice location
University Of Utah Department Of Dermatology, 30 N 1900 E
Salt Lake City, UT 84132-0001
(801) 581-6465