Individual provider · Type 1 NPI

Blake Garrett Eddington, MD

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1679457063 Active

Practice location

27 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888

Call (702) 985-8789 Map

Mailing address

508 E South Temple Apt 207
Salt Lake City, UT 84102-1062

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679457063

Blake Garrett Eddington, MD's National Provider Identifier is 1679457063, issued on Jul 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 31, 2025.