Provider Demographics
NPI:1700750841
Name:ASHBY, BLAIR
Entity type:Individual
Prefix:
First Name:BLAIR
Middle Name:
Last Name:ASHBY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:989 W BLOOMINGTON DR S
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7552
Mailing Address - Country:US
Mailing Address - Phone:435-256-1327
Mailing Address - Fax:
Practice Address - Street 1:989 W BLOOMINGTON DR S
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7552
Practice Address - Country:US
Practice Address - Phone:435-256-1327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty