# BLAINE UPHAM DC PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOUNTAIN VIEW CHIROPRACTIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598179210
- **Authorized official:** BLAINE UPHAM DC (PRESIDENT)
- **Authorized official phone:** (907) 357-6688

## Contact information

- **Practice address:** 5461 E MAYFLOWER LN, SUITE \# 6, WASILLA, AK 99654-7892
- **Practice address phone:** (907) 357-6688
- **Practice address fax:** (907) 357-9655
- **Mailing address:** 5461 E MAYFLOWER LN, SUITE \# 6, WASILLA, AK 99654-7892
- **Mailing address phone:** (907) 357-6688
- **Mailing address fax:** (907) 357-9655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 584 | AK | Yes |

## Other

- **Enumeration date:** 06/20/2014
- **Last updated:** 06/20/2014