Individual
DR. BLAINE ALAN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11S MAIN ST, HURRICANE, UT 84737-1949
(435) 635-9444
Mailing address
11S MAIN ST, HURRICANE, UT 84737-1949
(435) 635-9444
(435) 635-8148
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3346-1202
UT
Other
Enumeration date
08/05/2009
Last updated
07/16/2015
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