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Jordan Blackham, PA-C
NPI 1790337046 · on the registry since 2019
Practice
- Address
- 652 S Medical Center Dr Ste 120
Saint George, UT 84790 - Phone
- (435) 628-4460
- Fax
- (435) 251-3601
- Clinicians at this address
- 14
Additional practice sites
- 3155 S Hidden Valley Dr Unit 333, Saint George, UT
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah