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Individual
MR. MICHAEL WARREN CHANDLER
Active
Individual
MR. MICHAEL WARREN CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
85-173262-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002082582
—
NV
01
—
107006554104
IHC
UT
05
—
118904200
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
25542
DESERET MUTUAL
UT
01
—
37776
PEHP
UT
01
—
53228
HEALTHY U
UT
05
—
698912001
—
AZ
05
—
806731900
—
ID
01
—
870545614CH4
EDUCATORS MUTUAL
UT
01
—
PR00892
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
10/16/2006
Last updated
10/15/2012
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