Individual
DR. BLAKE FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
146 E 4600 S, WASHINGTON TERRACE, UT 84405-5946
(801) 627-2023
(801) 627-2048
Mailing address
146 E 4600 S, WASHINGTON TERRACE, UT 84405-5946
(801) 627-2023
(801) 627-2048
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6796488-1202
UT
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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