Organization
BLAINE UPHAM DC PC
Active
Other names
MOUNTAIN VIEW CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
BLAINE UPHAM DC (PRESIDENT)
(907) 357-6688
Entity
Organization
Contact information
Practice address
5461 E MAYFLOWER LN, SUITE # 6, WASILLA, AK 99654-7892
(907) 357-6688
(907) 357-9655
Mailing address
5461 E MAYFLOWER LN, SUITE # 6, WASILLA, AK 99654-7892
(907) 357-6688
(907) 357-9655
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
584
AK
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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