Individual
DR. CHARLES OLIN CANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10437 S JORDAN GTWY, SOUTH JORDAN, UT 84095-3915
(801) 877-0705
(801) 335-5957
Mailing address
PO BOX 709391, SANDY, UT 84070-9391
(801) 877-0705
(801) 335-5957
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
182809-1205
UT
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
182809-1205
UT
Other
Enumeration date
10/18/2006
Last updated
01/04/2021
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