Individual
CHRISTOPHER THOMAS BLAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
1252 N 550 W, WEST BOUNTIFUL, UT 84087-1264
(801) 678-0425
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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