Individual
DR. BLAINE G UPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5461 E MAYFLOWER LN STE 6, WASILLA, AK 99654-7892
(907) 357-6688
(907) 357-9655
Mailing address
5461 E MAYFLOWER LN STE 6, WASILLA, AK 99654-7892
(907) 357-6688
(907) 357-9655
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5347
AZ
111N00000X
Chiropractor
Primary
584
AK
Other
Enumeration date
02/15/2007
Last updated
03/18/2014
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