ELISE BLASEG, MD

Family Medicine

Active Individual
NPI: 1205585742

Practice Address

1250 E 3900 S STE 260
Salt Lake City, UT 84124

Phone: (801) 265-2000

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 35012 (NH)
Student in an Organized Health Care Education/Training Program 390200000X No -

Frequently Asked Questions

NPI 1205585742 is the National Provider Identifier for ELISE BLASEG, MD, a Family Medicine provider located in Salt Lake City, UT. This NPI was enumerated on March 22, 2022.
ELISE BLASEG, MD practices at 1250 E 3900 S STE 260, Salt Lake City, UT 84124.

Quick Facts

NPI
1205585742
Type
Individual
Enumerated
Mar 22, 2022
Last Updated
Oct 15, 2025

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