MEDICARE: DR. DUANE BLATTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	M-8434	ID
2	2085R0202X	Diagnostic Radiology Physician	180454-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316949316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DUANE BLATTER M.D.

Provider Business Mailing Address
First Line	:	5444 S GREEN ST
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84123-5632
Country	:	US
Telephone Number	:	801-262-8120
Fax Number	:	801-262-5721

Provider Business Practice Location Address
First Line	:	5444 S GREEN ST
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84123-5632
Country	:	US
Telephone Number	:	801-262-2647
Fax Number	:	801-262-3897

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	09/27/2021

Similar Medicare Providers

1851250526 — REUVEN GREEN BT
Practice Location Address:

5444 S GREEN ST STE B
MURRAY, UT
84123-5632

Practice Phone: 385-550-3500
Practice Fax: 385-550-7329

1639175144 — DR. JONATHAN SCOTT SILVERSTEIN MD
Practice Location Address:

5444 GREEN ST
MURRAY, UT
84123-5632

Practice Phone: 801-262-8120
Practice Fax: 801-262-5721

1275530289 — DR. W ROBERT BRINTON M.D.
Practice Location Address:

5444 S. GREEN ST.
MURRAY, UT
84123-5632

Practice Phone: 801-262-8120
Practice Fax: 801-262-3897

1003814013 — KAREN ANNE DITTRICH MD
Practice Location Address:

5444 S. GREEN ST.
MURRAY, UT
84123-5632

Practice Phone: 801-262-8120
Practice Fax: 801-262-3897

1629077979 — DR. K MICHAEL HANDLON M.D.
Practice Location Address:

5444 S. GREEN ST.
MURRAY, UT
84123-5632

Practice Phone: 801-262-8120
Practice Fax: 801-262-3897

1396746004 — DR. CATHERINE J BABCOOK M.D.
Practice Location Address:

5444 GREEN ST
MURRAY, UT
84123-5632

Practice Phone: 801-262-8120
Practice Fax: 801-262-5721

Directions to “ DR. DUANE BLATTER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.