Individual
BLAIN CHAISE HOUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N 1900 E # 3C444, SALT LAKE CITY, UT 84132-3440
(801) 581-6393
Mailing address
750 LACEY WAY, NORTH SALT LAKE, UT 84054-1525
(385) 271-6659
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10957127-1205
UT
Other
Enumeration date
03/22/2017
Last updated
02/07/2021
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