Benjamin Blackburn, PA-C
NPI 1649380049 · Physician Assistant · West Jordan, UT
Benjamin Blackburn, PA-C is a Physician Assistant provider in West Jordan, UT (NPI 1649380049).
Provider details
- NPI number
- 1649380049
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 3458 (AZ)
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2015-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.