BLAINE UPHAM DC PC NPI 1598179210

NPI Information

BLAINE UPHAM DC PC is a chiropractor in Wasilla, AK. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BLAINE UPHAM DC PC NPI is 1598179210. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mountain View Chiropractic.

The provider's business location address is:

5461 E MAYFLOWER LN
SUITE # 6
WASILLA, AK
ZIP 99654-892
Phone: (907) 357-6688
Fax: (907) 357-9655

The provider's authorized official is Blaine Upham .
The authorized official title is President and has the following contact phone number (907) 357-6688.

The enumeration date for this NPI number is 6/20/2014 and was last updated on 6/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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