Individual
CHAD MICHAEL DUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14425 S BITTERBRUSH LN, DRAPER, UT 84020-9501
(801) 576-7292
Mailing address
14425 S BITTERBRUSH LN, DRAPER, UT 84020-9501
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8242616-1206
UT
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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