Richard A Blatny
Physician in Provo, UT

License number
Utah 375286-8905
Issued Date
Jul 30, 1999
Expiration Date
Jan 31, 2002
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Provo, UT
LicenseFiles verified this license of Nov 21, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Richard A Blatny, age 52
370 200 N, Lindon, UT 84042

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