Individual
COREY CHIPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 357-8310
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-8310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6353655-1205
UT
Other
Enumeration date
09/25/2007
Last updated
06/15/2010
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