DR. Blaine G Upham, DC

NPI #1891838801 in Wasilla, Alaska

Provider Information

NPI Number: 1891838801
Entity Type: Individual
Name: DR. Blaine G Upham, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Feb 15, 2007
Last Updated: Mar 18, 2014

Practice Location

Address: 5461 E MAYFLOWER LN STE 6
City: Wasilla
State: Alaska
ZIP Code: 99654-7892
Phone: (907) 357-6688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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