Individual
CHAD W TINGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3090
(801) 475-3089
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3090
(801) 475-3089
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
7949488-1205
UT
Other
Enumeration date
03/19/2007
Last updated
01/17/2017
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