NPI 1366954802
Christopher Thomas Blaylock, CCP
Practice location
- Address
- 50 N Medical Dr, Salt Lake City, UT 84132-0001
- Phone
- (801) 581-2121
- Mailing address
- 1252 N 550 W, West Bountiful, UT 84087-1264
Registered specialties
Perfusionist
Primary
Registry record
- NPI
- 1366954802
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Oct 2017
- Record last updated
- 24 Oct 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.