Christopher Thomas Blaylock, CCP
NPI #1366954802 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1366954802
- Entity Type
- Individual
- Name
- Christopher Thomas Blaylock, CCP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Perfusionist
- Credential
- CCP
- Enumeration Date
- Oct 24, 2017
- Last Updated
- Oct 24, 2017
Practice Location
- Address
- 50 N MEDICAL DR
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84132-0001
- Phone
- (801) 581-2121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Perfusionist |
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