Individual
DR. STEPHEN BLAKE BIDDULPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3325 N UNIVERSITY AVE, SUITE 125, PROVO, UT 84604-4465
(801) 374-2774
(801) 374-2775
Mailing address
3325 N UNIVERSITY AVE, SUITE 125, PROVO, UT 84604-4465
(801) 374-2774
(801) 374-2775
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6880100-1202
UT
Other
Enumeration date
02/01/2008
Last updated
10/30/2009
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